Organization Active NPI

Davies Dental, LLC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1760916381
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012035A Issued in IN
Legal business name
DAVIES DENTAL, LLC
Practice address
9850 E 79TH St
Indianapolis, IN 46256-4822
Phone
(317) 288-5388
Fax
(317) 288-5412
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Jenna Davies, DDS
Title
Owner
Phone
(317) 288-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12012035A IN Primary

Addresses

Primary practice location

9850 E 79TH St
Indianapolis, IN 46256-4822

Mailing address

9850 E 79TH St
Indianapolis, IN 46256-4822
Phone (317) 288-5388

National Provider Directory

National Provider Directory

Locations

9850 E 79th St
Indianapolis, IN 46256
Phone (317) 288-5388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1760916381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564822",
            "telephone_number": "317-288-5388",
            "fax_number": "317-288-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 E 79TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564822",
            "telephone_number": "317-288-5388",
            "fax_number": "317-288-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-288-5388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012035A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.