NPIMap

Organization Active NPI

Dr.V.Davis,PA

  • General Practice Dentistry
  • Abingdon, MD
National Provider Identifier
1770645889
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08631 Issued in MD
Legal business name
DR.V.DAVIS,PA
Practice address
2921 Emmorton Rd
Abingdon, MD 21009-1631
Phone
(410) 515-7525
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Dr. Vida Davis, DDSNPI 1477615094
Title
Corporate Officer
Phone
(410) 515-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08631 MD Primary

Addresses

Primary practice location

2921 Emmorton Rd
Abingdon, MD 21009-1631

Mailing address

PO Box 439
Abingdon, MD 21009-0439
Phone (410) 515-7525

National Provider Directory

National Provider Directory

Locations

2921 Emmorton Rd
Abingdon, MD 21009
Phone (410) 515-7525

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1770645889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210090439",
            "telephone_number": "410-515-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 EMMORTON RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091631",
            "telephone_number": "410-515-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.V.DAVIS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "410-515-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "08631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.