Christian Davillier, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN22468 Issued in FL

Practice address

4400 Bayou Blvd Ste 27
Pensacola, FL 32503-2691

Phone

(850) 476-5039

NPI assigned

Apr 10, 2017

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 30, 2017 through Jul 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian O Davillier DDS PLLC

  • Dental Clinic/Center
  • Suffolk, VA
  • NPI 1639813322
  NPD Authorized official
• Shoopak & Barry, PL

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pensacola, FL
  • NPI 1184759334
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1699208223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 7TH ST NW APT 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013192",
            "telephone_number": "770-490-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 27",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032691",
            "telephone_number": "850-476-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILLIER",
        "first_name": "CHRISTIAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN22468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a Turner MD PA
• David T. Turbyfill DMD PA
• Alan Davidson, DPT
• James Lewis Davidson, PH D
• Pamela Jeannette Davies, PHARM. D
• Amanda Marie Davis, A.R.N.P.
• Ashley Marie Davis, APRN
• Brianna Davis, LCSW
• Cassadi Adams Davis, AUD
• Delivian Yvonne Davis, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.