Beth Diane Davis, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

17857 Issued in CA

Practice address

1600 San Fernando Rd
San Fernando, CA 91340-3115

Phone

(818) 365-8086

NPI assigned

Jan 29, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1740467067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23638 LYONS AVE # 115",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212513",
            "telephone_number": "661-254-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAN FERNANDO RD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403115",
            "telephone_number": "818-365-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BETH",
        "middle_name": "DIANE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "17857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cypress Ophthalmology Group Inc.
• Silvia Darie, M.D.
• Russel Dasalla, DMD
• Shabnam Dastmalchian
• Roselia Davila
• Desmond Deon Davis
• Dianne Fredricka Davis, MPH
• Nahil Issa Dawud
• Yesenia Ruby De Anda, LCSW
• Daniel Deldo

• Dental Hygienist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.