Tracy Dawn Davis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MO2004014237 Issued in MO

Practice address

1427 W State Highway J
Ozark, MO 65721-7473

Phone

(417) 581-3600

Fax

(417) 581-8899

NPI assigned

Mar 25, 2007

Sex

Female

Sole proprietor

No

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 MO

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

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.

• Barnett Family Dental DDD, PC

  • General Practice Dentistry
  • Ozark, MO
  • NPI 1922002948
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699892406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-581-3600",
            "fax_number": "417-581-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-581-3600",
            "fax_number": "417-581-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "MO2004014237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven K Daugherty, MD
• Davis Chiropractic PC
• Jessica L. Davis, PA-C
• Lael Davis, MD
• Paul Eugene Davis, D.C.
• Elizabeth Dawson, M.S., CCC-SLP
• Kristy Delong, PHARMD
• Sherri Rena Delozier Carter, MS, PLPC
• Jeffrey S. Delvecchio, P.A.
• Justin Wayne Denney, DMD

• Dentist in Ozark, MO
• Providers in Ozark, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.