Individual provider Active NPI

Sarah Elizabeth Deck Davis, DDS

  • General Practice Dentistry
  • Okemos, MI
National Provider Identifier
1689768764
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15594 Issued in MI
Practice address
2277 Science Pkwy
Ste 1
Okemos, MI 48864
Phone
(517) 349-3040
Fax
(517) 349-4416
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15594 MI Primary

Addresses

Primary practice location

2277 Science Pkwy
Ste 1
Okemos, MI 48864

Mailing address

1882 Live Oak Trail
Williamston, MI 48895
Phone (517) 655-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170927003389 MI Order and Referring Only - DentistPractitioner - Dentist 0941482145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15594MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Dental, P.C. General Practice PastSince Dec 27, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1689768764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 LIVE OAK TRAIL",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "48895",
            "telephone_number": "517-655-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 SCIENCE PKWY",
            "address_2": "STE 1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-349-3040",
            "fax_number": "517-349-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK DAVIS",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.