Edward Mitchell Davis Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

101113 Issued in CA

Practice address

300 Carlsbad Village Dr
Suite 203
Carlsbad, CA 92008-2900

Phone

(760) 487-0203

NPI assigned

Jan 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amanda Mercer and Diana DO-Yabut Dental Corporation

  • Dentist
  • Carlsbad, CA
  • NPI 1255787750
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1801332127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 KNIGHTS FERRY DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR",
            "address_2": "SUITE 203",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082900",
            "telephone_number": "760-487-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDWARD",
        "middle_name": "MITCHELL",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Stemley, O.D., Inc.
• Sarah Davidson, RD
• Thomas Davies, DDS
• Brianna Davis
• Christopher Davis, O.D.
• Heather Dawn Davis, LCSW
• Holly Davis, OTR
• James Robert Davis, OTR/L
• Jasmine Davis
• Natalie Davis

• Dentist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.