Steven Michael Davis, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901020733 Issued in MI

Practice address

801 N 3Rd St
Marquette, MI 49855

Phone

(906) 228-6830

Fax

(906) 228-6842

NPI assigned

Jun 18, 2012

Last updated

May 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1699038448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553501",
            "telephone_number": "906-228-6830",
            "fax_number": "906-228-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-228-6830",
            "fax_number": "906-228-6842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Front St",
            "address_2": "Suite 509",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554641",
            "country_code": "US",
            "telephone_number": "906-228-6830",
            "fax_number": "906-228-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901020733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Allan Davenport, MD
• David a. Kyle OD PC
• Alycia Davidson, FNP-C
• Davis Drug Co (campus pharmacy)
• Alicia Davis, MS, LLPC
• Daniel Domingues De Oliveira, M.D.
• Clare De Pue, PA-C
• Debra L. Smith, Psy.D., PLLC (Superior Psychological Services)
• Megan Marie Dechambeau, MS, AT, ATC
• Alyssa Marie Decremer

• Periodontics in Marquette, MI
• Providers in Marquette, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.