Active NPI
Christopher Lee Davis, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Burlington, NC
National Provider Identifier
1710900592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4186
- Practice address
- 2260 S Church St
#603
Burlington, NC 27215-5390 - Phone
- (336) 222-8792
- Fax
- (336) 222-8795
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4186 | NC | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 26220 | NC |
Addresses
Primary practice location
2260 S Church St
#603
Burlington, NC 27215-5390
Mailing address
2260 S Church St
#603
Burlington, NC 27215-5390
Phone (336) 222-8792
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9201A | Other | NC | BLUE C/BLUE S DENTAL |
| 899201A | Medicaid | NC | |
| 27399 | Other | NC | BLUE C/BLUE S MEDICAL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4186 | NC | MD | Mental Health Counselor |
| 26220 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710900592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 S CHURCH ST",
"address_2": "#603",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155390",
"telephone_number": "336-222-8792",
"fax_number": "336-222-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 S CHURCH ST",
"address_2": "#603",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155390",
"telephone_number": "336-222-8792",
"fax_number": "336-222-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "4186",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "26220",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE C/BLUE S DENTAL",
"identifier": "9201A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899201A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE C/BLUE S MEDICAL",
"identifier": "27399",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.