Michael a. Davis, D.D.S. Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL A. DAVIS, D.D.S. FAMILY DENTAL LLC

Practice address

3737 N. Meridian Ste. 410
Indianapolis, IN 46208

Phone

(317) 923-6964

Fax

(317) 923-4491

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Antonia Davis, D.D.S.

Title

Doctor

Phone

(317) 923-6964

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1760877591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N. MERIDIAN STE. 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46208",
            "telephone_number": "317-923-6964",
            "fax_number": "317-923-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N. MERIDIAN STE. 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46208",
            "telephone_number": "317-923-6964",
            "fax_number": "317-923-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. DAVIS, D.D.S. FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "317-923-6964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120890A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MHP Pharmacy LLC
• Janalee Ruth Mial, PA-C
• Taimur Khalid Mian, MD
• Micah 68 Corporation
• Micare Home Health Services, LLC
• Michael a. Rice DDS PC
• Michael F. Tillery DDS & Associates PC
• Michael J Gerstbauer DDS, PC
• Michael J Helms DPM LLC
• Erin Lynn Michael Jolliff, MSW, LCSW

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.