Individual provider Active NPI

Lindsay Waters Davidson, DDS

  • General Practice Dentistry
  • Olathe, KS
National Provider Identifier
1881601201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60203 Issued in KS
Practice address
751 N Mur Len Rd
B
Olathe, KS 66062-5401
Phone
(913) 782-1330
Fax
(913) 782-0614
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60203 KS Primary

Addresses

Primary practice location

751 N Mur Len Rd
B
Olathe, KS 66062-5401

Mailing address

751 N Mur Len Rd
B
Olathe, KS 66062-5401
Phone (913) 782-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150522002104 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012237589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881601201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 N MUR LEN RD",
            "address_2": "B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625401",
            "telephone_number": "913-782-1330",
            "fax_number": "913-782-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N MUR LEN RD",
            "address_2": "B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625401",
            "telephone_number": "913-782-1330",
            "fax_number": "913-782-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LINDSAY",
        "middle_name": "WATERS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.