Jeremy B. Davidson DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401412449 Issued in VA

Legal business name

JEREMY B. DAVIDSON DDS PC

Doing business as

Davidson Orthodontics

Practice address

401 N Great Neck Rd
Suite 122
Virginia Beach, VA 23454-4063

Phone

(504) 834-4392

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy B Davidson, DDS PC

Title

Owner Doctor

Phone

(504) 620-3400

Specialties & licenses 1

Addresses

Other names 1

• Davidson Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1841552528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N GREAT NECK RD",
            "address_2": "SUITE 122",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N GREAT NECK RD",
            "address_2": "SUITE 122",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544063",
            "telephone_number": "504-834-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY B. DAVIDSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "504-620-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Jennings
• Margaret Jean (Peg) Jensen, PH.D., LPC
• Sungmin Peter Jeoun, D.D.S.
• Jessica Jill Jeremiah, OTR/L
• Paris Jeremiah
• Jeremy Shulman
• Jerious Counseling Services, LLC
• Jerry G Caravas, DDS, PC
• Ashley S Jessen, PA-C
• Jessica M. Clark, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.