Individual provider Active NPI

Victoria Davis, DDS

  • Dentist
  • Harvey, LA
National Provider Identifier
1679338420
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7614 Issued in LA
Practice address
929 Manhattan Blvd Ste D
Harvey, LA 70058-4605
Phone
(504) 208-2904
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 7614 LA Primary

Addresses

Primary practice location

929 Manhattan Blvd Ste D
Harvey, LA 70058-4605

Mailing address

929 Manhattan Blvd Ste D
Harvey, LA 70058-4605

Other names 1

  • Dr. Victoria Kemya Chloe Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001829 LA Order and Referring Only - DentistPractitioner - Dentist 5799223210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7614LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Dent, D.D.S., Westbank Dentistry, a Professional Corporation CurrentSince Aug 3, 2025 Accepting new patients

Locations

929 Manhattan Blvd
#D
Harvey, LA 70058
Phone (504) 208-2904

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1679338420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 MANHATTAN BLVD STE D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 MANHATTAN BLVD STE D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584605",
            "telephone_number": "504-208-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "DAVIS",
            "middle_name": "KEMYA CHLOE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.