Jay R Davidson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07767 Issued in IA

Practice address

1008 William St
Iowa City, IA 52240-6625

Phone

(319) 337-2114

Fax

(319) 337-3382

NPI assigned

Oct 16, 2006

Last updated

Mar 4, 2014By the provider in NPPES

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Towncrest Dental Offices PC

  • General Practice Dentistry
  • Iowa City, IA
  • NPI 1871682807
  NPD (past) Authorized official
• Kimball & Beecher Iowa City PLLC

  • Dental Clinic/Center
  • Iowa City, IA
  • NPI 1609416817
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1760562763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-337-2114",
            "fax_number": "319-337-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-337-2114",
            "fax_number": "319-337-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channa Zahr Davenport, ARNP
• Tina Lynn Davenport, ARNP
• Jonathan J Davick
• Katie Davick
• David P Johnson M Div PHD PLC
• Krista Rose Davidson, M.S., CCC-SLP
• Shawn Davidson
• Teresa Davidson, ARNP
• Maria C Davis Hochstedler, PA-C
• Megan Sue Davis-de Geus, ARNP

• General Practice Dentistry in Iowa City, IA
• Providers in Iowa City, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.