NPIMap

Organization Active NPI

Davis Dental Care LLC

  • Dentist
  • Macon, GA
National Provider Identifier
1710442561
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVIS DENTAL CARE LLC
Practice address
606 Spring St
Macon, GA 31201-2028
Phone
(478) 746-4578
NPI assigned
Feb 6, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS DENTAL CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Ryan DavisNPI 1639308133
Title
Owner
Phone
(478) 308-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

606 Spring St
Macon, GA 31201-2028

Mailing address

606 Spring St
Macon, GA 31201-2028

National Provider Directory

National Provider Directory
Tax ID family
Davis Dental Care LLC2 organizations share this tax ID, including this one
Part of
Davis Dental Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

606 Spring St
Macon, GA 31201
Phone (478) 746-4578

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1710442561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SPRING ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SPRING ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012028",
            "telephone_number": "478-746-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DENTAL CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS DENTAL CARE LLC",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-308-2916"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.