Organization Active NPI

Davis Endodontics

  • Preferred Provider Organization
  • North Potomac, MD
National Provider Identifier
1669778650
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
11210 Issued in MD
Legal business name
DAVIS ENDODONTICS
Practice address
11908 Darnestown Rd
Suite #F
North Potomac, MD 20878-2295
Phone
(301) 947-3400
Fax
(301) 947-5778
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Gail M. Davis, DDS, MS, PCNPI 1700864840
Title
Endodontist/Dentist
Phone
(301) 947-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 11210 MD Primary

Addresses

Primary practice location

11908 Darnestown Rd
Suite #F
North Potomac, MD 20878-2295

Mailing address

11908 Darnestown Rd
Suite #F
North Potomac, MD 20878-2295
Phone (301) 947-3400

Other identifiers 1

IdentifierTypeStateIssuer
1700864840OtherMDSPECIAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

11908 Darnestown Rd
Ste F
North Potomac, MD 20878
Phone (301) 527-4343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1669778650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 DARNESTOWN RD",
            "address_2": "SUITE #F",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782295",
            "telephone_number": "301-947-3400",
            "fax_number": "301-947-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 DARNESTOWN RD",
            "address_2": "SUITE #F",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782295",
            "telephone_number": "301-947-3400",
            "fax_number": "301-947-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ENDODONTIST/DENTIST",
        "authorized_official_telephone_number": "301-947-3400",
        "authorized_official_credential": "DDS, MS, PC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "11210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL PROVIDER NUMBER",
            "identifier": "1700864840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.