Davis Lee Dalton, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

5101008097 Issued in MI

Practice address

2215 44TH St SW
Wyoming, MI 49519-6439

Phone

(616) 252-8300

Fax

(616) 252-8341

NPI assigned

Jan 25, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Metropolitan Enterprises Inc.

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1770550105
  NPD (past)
• Pennant Physician Services

  • Pediatric Cardiology Physician
  • Grand Rapids, MI
  • NPI 1245572007
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1720058449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HEALTH DR SW",
            "address_2": "SUITE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495196439",
            "telephone_number": "616-252-8300",
            "fax_number": "616-252-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "DAVIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "5101008097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Cytacki-Lewis, MA, LLP
• Leia Cywka, RDN
• D2 Dental of Michigan
• Andrew Dagenais
• Stephanie M Dailey, PA-C
• Jacob Patrick Dalton, DO
• Samantha Darrow, MA
• Kristin Dart, MSPT
• Timothy Daum, MD
• Mallika Pearl David, CCC SLP

• Gynecology Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.