Kent Eston Davis, D. M. D.

Primary specialty

DentistTaxonomy code 122300000X

License

24444 Issued in CA

Practice address

5100 Clayton Rd
Suite a 19
Concord, CA 94521-3139

Phone

(925) 825-1130

Fax

(925) 682-9115

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1699795666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CLAYTON RD",
            "address_2": "SUITE A 19",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213139",
            "telephone_number": "925-825-1130",
            "fax_number": "925-682-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 CLAYTON RD",
            "address_2": "SUITE A 19",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213139",
            "telephone_number": "925-825-1130",
            "fax_number": "925-682-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENT",
        "middle_name": "ESTON",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24444",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mathew Davis
• Fatima A. Davis
• Jeanette Jimile Leshay Davis
• Jennifer Alice Davis, M ED
• Katrece Davis, NP
• Kylie Alaisha Nichole Davis
• Latoya Davis
• Lemonie Davis
• Lileah Topaz Davis
• Marriah Davis

• Dentist in Concord, CA
• Providers in Concord, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.