Monica Annette Davenport, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5001 Issued in LA

Practice address

1850 Martin Luther King Dr
Shreveport, LA 71107-5020

Phone

(318) 226-0244

Fax

(318) 226-0282

NPI assigned

Jun 15, 2006

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Monica a. Davenport, DDS Apc

  dba Davenport Family Dental

  • General Practice Dentistry
  • Shreveport, LA
  • NPI 1720447147
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1740224435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 MARTIN LUTHER KING DR.",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711075020",
            "telephone_number": "318-226-0244",
            "fax_number": "318-226-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MARTIN LUTHER KING DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711075020",
            "telephone_number": "318-226-0244",
            "fax_number": "318-226-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MONICA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivery Datcher
• Xavier Daughtery
• Deborah Michele Dauzat
• Alexandria Davenport
• Michael Patrick Davenport, PHD
• Shamicheal Davenport
• Sterling Davenport
• George Anthony Daves, MA LPC
• David a Scott MD and Willis-Knighton Medical Center
• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation (Oral Surgery and Wisdom Teeth of Louisiana)

• Dentist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.