Active NPI
Davis Beard Walton, DDS
- General Practice Dentistry
- Ferriday, LA
National Provider Identifier
1689137598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6969
- Practice address
- 207 Serio Blvd
Ferriday, LA 71334-2014 - Phone
- (318) 757-4561
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4074-19 | MS | |
| General Practice Dentistry | 1223G0001X | 6969 | LA | Primary |
Addresses
Primary practice location
207 Serio Blvd
Ferriday, LA 71334-2014
Mailing address
110 US 61
Natchez, MS 39120-4921
Phone (601) 870-0304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6969 | LA | MD | Counselor |
| 4074-19 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jim Iverstine, D.D.S., Apc | General Practice | Past | Accepting new patients |
| Miss-Lou Dental LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Ferriday, LA
- NPI 1417250382
-
- General Practice Dentistry
- Natchez, MS
- NPI 1760818017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1689137598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 US 61",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204921",
"telephone_number": "601-870-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 SERIO BLVD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713342014",
"telephone_number": "318-757-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "DAVIS",
"middle_name": "BEARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "4074-19",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "6969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.