Individual provider Active NPI

Hunter Benjamin Davis, DMD, MSD

  • Dentist
  • Orlando, FL
National Provider Identifier
1699405563
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26971 Issued in FL
Practice address
863 Outer Rd
Orlando, FL 32814-6652
Phone
(407) 898-6711
NPI assigned
Jun 14, 2022
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26971 FL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 26971 FL

Addresses

Primary practice location

863 Outer Rd
Orlando, FL 32814-6652

Mailing address

1780 Welham St Apt 203
Orlando, FL 32814-6838
Phone (407) 712-5184

Other practice location 1

2511 Edgewater Dr
Orlando, FL 32804-4405
Phone (407) 648-5511

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

LicenseStateTypeSpecialty
26971FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthodontic Partnership of Orlando, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Sep 23, 2024 Accepting new patients
Ideal Braces, PA Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

2511 Edgewater Dr
Orlando, FL 32804
Phone (407) 648-5511

863 Outer Rd
Orlando, FL 32814
Phone (407) 898-6711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1699405563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 WELHAM ST APT 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146838",
            "telephone_number": "407-712-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-898-6711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044405",
            "country_code": "US",
            "telephone_number": "407-648-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HUNTER",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26971",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "26971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.