Active NPI
Kaitlin Elizabeth Davis
- Pediatric Dentistry
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18935
- Practice address
- 5530 Wisconsin Ave Ste 1230
Chevy Chase, MD 20815-4301 - Phone
- (301) 962-2166
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 105504 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 18935 | MD | Primary |
Addresses
Primary practice location
5530 Wisconsin Ave Ste 1230
Chevy Chase, MD 20815-4301
Mailing address
4909 Auburn Ave Apt 1103
Bethesda, MD 20814-2839
Phone (818) 793-6219
Other practice location 1
16542 Ventura Blvd Ste 506
Encino, CA 91436-4577
Phone (818) 943-8228
Other practice location 2
2515 Eastbluff Dr
Newport Beach, CA 92660-3504
Phone (949) 640-5050
Other practice location 3
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-9789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105504 | CA | MD | Pediatric Dentist |
| 18935 | MD | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lecia Harmer, DDS, Inc | Pediatric Dentistry | Current | Accepting new patients |
| Hedieh Tavajohi-Kermani, DDS, MDS, Inc | Past | Accepting new patients |
Locations
16542 Ventura Blvd
Ste 506
Encino, CA 91436
Phone (818) 943-8228
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Encino, CA
- NPI 1669063624
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Newport Beach, CA
- NPI 1902099112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1902435779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 AUBURN AVE APT 1103",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142839",
"telephone_number": "818-793-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE STE 1230",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154301",
"telephone_number": "301-962-2166"
}
],
"practiceLocations": [
{
"address_1": "16542 Ventura Blvd Ste 506",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "914364577",
"country_code": "US",
"telephone_number": "818-943-8228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2515 Eastbluff Dr",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926603504",
"country_code": "US",
"telephone_number": "949-640-5050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10833 Le Conte Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900953075",
"country_code": "US",
"telephone_number": "310-825-9789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "105504",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "18935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.