Organization Active NPI

Dr. Barrett Davis, Jr. DDS PA

  • General Practice Dentistry
  • Morehead City, NC
National Provider Identifier
1861679755
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6330 Issued in NC
Legal business name
DR. BARRETT DAVIS, JR. DDS PA
Practice address
304 Penny LN
Morehead City, NC 28557-4306
Phone
(252) 726-9555
Fax
(252) 726-4571
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Francis Barrett Davis Jr., DDSNPI 1891890802
Title
Dentist
Phone
(252) 726-9555

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 6330 NC Primary

Addresses

Primary practice location

304 Penny LN
Morehead City, NC 28557-4306

Mailing address

304 Penny LN
Morehead City, NC 28557-4306
Phone (252) 726-9555

Other identifiers 1

IdentifierTypeStateIssuer
8992027MedicaidNC

National Provider Directory

National Provider Directory

Locations

304 Penny Ln
Morehead City, NC 28557
Phone (252) 726-9555

Practitioners & affiliated clinicians

Practitioners 2

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1861679755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574306",
            "telephone_number": "252-726-9555",
            "fax_number": "252-726-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574306",
            "telephone_number": "252-726-9555",
            "fax_number": "252-726-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BARRETT DAVIS, JR. DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-726-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.