Davis Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1274 Issued in WY

Legal business name

DAVIS PERIODONTICS

Practice address

5850 E 2ND St
Ste 100
Casper, WY 82609-4342

Phone

(307) 472-0207

Fax

(307) 472-0259

NPI assigned

Apr 3, 2012

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Davis, DDSNPI 1568682011

Title

Dentist

Phone

(307) 472-0207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Asay Davis, D.D.S.

  • Periodontics
  • Casper, WY
  • NPI 1568682011
  Authorized official Same address or phone

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1881950954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 E 2ND ST",
            "address_2": "STE 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094342",
            "telephone_number": "307-472-0207",
            "fax_number": "307-472-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 E 2ND ST",
            "address_2": "STE 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094342",
            "telephone_number": "307-472-0207",
            "fax_number": "307-472-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-472-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WY",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1568682011",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David a Baxter IV, MD, PC
• Alexandru Petre David, M.D.
• Dustin Alan Davidson, DPT
• Dawn R Davies, PMHNP
• Davis Home Health LLC (Sharon's Home Health- Casper)
• Cynthia Elaine Davis, AA, BA
• Elizabeth Davis
• Jameson Bert Davis, DDS
• Jeffrey Thomas Davis, LSPE, LBA, BCBA
• Katherine Verline Davis, MA, LPC

• Periodontics in Casper, WY
• Providers in Casper, WY by specialty
• Periodontics in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.