Dr. Robert C. Davis

Primary specialty

DentistTaxonomy code 122300000X

License

3556 Issued in CO

Legal business name

DR. ROBERT C. DAVIS

Practice address

902 West 29TH Street
Pueblo, CO 81008-1159

Phone

(719) 542-5300

Fax

(719) 545-5525

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert C. Davis, DMD

Title

Dentist

Phone

(719) 542-5300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1790171429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-542-5300",
            "fax_number": "719-545-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WEST 29TH STREET",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-542-5300",
            "fax_number": "719-545-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT C. DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-542-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "3556",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.