Active NPI
David B. Avery, DMD
- Dentist
- Augusta, GA
National Provider Identifier
1689080764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9136
- Practice address
- 3041 Peach Orchard Rd
Augusta, GA 30906-3505 - Phone
- (706) 798-6720
- NPI assigned
- Jul 9, 2014
- Last updated
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9136 | GA | Primary |
Addresses
Primary practice location
3041 Peach Orchard Rd
Augusta, GA 30906-3505
Mailing address
3041 Peach Orchard Rd
Augusta, GA 30906-3505
Phone (706) 798-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605002352 | GA | Order and Referring Only - Oral Surgery | 7416278197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B Avery, DMD, PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Augusta, GA
- NPI 1952467805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1689080764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3041 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063505",
"telephone_number": "706-798-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063505",
"telephone_number": "706-798-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "DAVID",
"middle_name": "B.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
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- Karen Rayfield Auvenshine, APRN, BC
- Cameron C Avant, MD
- Bibiana Andrea Avella Molano, MD
- Vivian Jankary Avendano Algarin
- Avet Cares Homecare Services LLC.
- Adrian Nicolas Avila Hernandez, M.D.
- Michelle Mui-Xian Aw, PHARM. D
- Jihene Ayadi, PHD, LPC, CPCS, ACS
- Stacey Ayala, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.