Davis Family & Cosmetic Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

2007014398 Issued in MO

Legal business name

DAVIS FAMILY & COSMETIC DENTISTRY

Practice address

6530 Raytown Rd
Raytown, MO 64133-5058

Phone

(816) 358-0800

Fax

(816) 358-0824

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Davis, DDSNPI 1487858866

Title

Owner

Phone

(816) 358-0800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert M Davis, DDS

  • Dentist
  • Raytown, MO
  • NPI 1487858866
  Authorized official Same address or phone

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1710186663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335058",
            "telephone_number": "816-358-0800",
            "fax_number": "816-358-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335058",
            "telephone_number": "816-358-0800",
            "fax_number": "816-358-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-358-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007014398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Jackson Raytown Fire Protection District (Raytown Fire Protection District)
• Nancy Ann Crigger, F.N.P., BC
• Elizabeth Criswell
• Michelle Paulette Cruickshank, MT
• Michael Daly, LPC
• Robert M Davis, DDS
• Deaconess Long Term Care of Missouri, Inc (Edgewood Manor)
• Deaconess Long Term Care of Missouri, Inc. (Cedar Valley Health Care)
• Kathryn Danielle Degenhardt, LCSW
• Carrie Lynn Delphia, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.