C Sid Davis DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5223 Issued in AZ

Legal business name

C SID DAVIS DDS PC

Practice address

2700 N Izabel St
Flagstaff, AZ 86004-3420

Phone

(928) 774-4311

Fax

(928) 774-1498

NPI assigned

Dec 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Sid Davis, DDS

Title

Owner

Phone

(928) 774-4311

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1639353337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N IZABEL ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043420",
            "telephone_number": "928-774-4311",
            "fax_number": "928-774-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N IZABEL ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043420",
            "telephone_number": "928-774-4311",
            "fax_number": "928-774-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C SID DAVIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jean Buyske, MA CCC-SLP
• Lita Byerly, PT
• Samantha Blair Byington, D.C.
• Bykota 2 LLC
• Ryan Byrnes
• Isaac J Cabanyog
• Cadence Performance PLLC
• Daniel Cady, ED D
• Joshua Thomas Cady, DPM
• Kathleen A. Cahoon, DO

• General Practice Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.