Michael R. Davis, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417779 Issued in VA

Practice address

2400 Colony Crossing PL
Midlothian, VA 23112-4281

Phone

(727) 623-8077

NPI assigned

Mar 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1780218511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124281",
            "telephone_number": "727-623-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124281",
            "telephone_number": "727-623-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026399",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Maria Davis
• Jonathan Davis, DPT
• Julia Stanton Davis, DDS
• Katie Marie Davis, MSN, CPNP-AC/PC
• Mary Elizabeth Davis, OTD
• Sherwin Andrew Davis, M.ED,BCBA,LBA
• Stephanie Davis, RDN
• Theresa T Davis, FNP-BC
• Stephanie Marie Dawkins, LCSW
• Sheila F. Dawson, ACNP-BC

• Pediatric Dentistry in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.