Blake Bennett Davis, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE60520840 Issued in WA

Practice address

945 Elliott Ave W
Suite 100
Seattle, WA 98119-3645

Phone

(206) 285-5000

NPI assigned

Jan 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blake Davis PLLC

  • Dental Clinic/Center
  • Kirkland, WA
  • NPI 1780367771
  NPD
• DRS Leone & Vaughn, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
  • NPI 1811798663
  NPD (past)
• Leone Vaughn Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
  • NPI 1598213076
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1912363920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 ELLIOTT AVE W",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 ELLIOTT AVE W",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193645",
            "telephone_number": "206-285-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BLAKE",
        "middle_name": "BENNETT",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60520840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Gerald Davis, PH.D.
• Barry Dwayne Davis, MS
• Benjamin Davis, M.D.
• Bethany Lynn Davis, LSWAIC
• Bevan Marie Davis
• Breana Francis Davis
• Brian Marcus Davis
• Brittany E Davis, SLP
• Chandan Davis
• Chelsea Davis, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.