Michael E. Davis DMD, PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

4512 Issued in OR

Legal business name

MICHAEL E. DAVIS DMD, PC

Practice address

2250 NW Flanders St
Suite 212
Portland, OR 97210-3443

Phone

(503) 248-1114

Fax

(503) 248-1827

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Davis, DMDNPI 1417949769

Title

President

Phone

(503) 248-1114

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Michael Edward Davis, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1417949769
  NPD (past) Authorized official
• Rachel Corrine-Campana Cole, D.D.S.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1356510903
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679635023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST",
            "address_2": "SUITE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103443",
            "telephone_number": "503-248-1114",
            "fax_number": "503-248-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST",
            "address_2": "SUITE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103443",
            "telephone_number": "503-248-1114",
            "fax_number": "503-248-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. DAVIS DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-248-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OR",
            "license": "4512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Keen Micek, BA
• Michael Baskin MD LLC
• Michael C Royse, DMD, LLC
• Michael D Moneta MD PC
• Michael D. Mellum, DMD PC
• Michael F. Bohley, M.D.,P.C.
• Michael P Naughton DMD PC
• Michael P. Naughton, DMD, PC
• Michael R. McClung MD (Endocrine And Osteoporosis Associates)
• Michael Sean Stanley, LLC

• Exclusive Provider Organization in Portland, OR
• Providers in Portland, OR by specialty
• Exclusive Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.