Active NPI
Paula Davidson, DDS
- Dentist
- Quantico, VA
National Provider Identifier
1912382011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2015018290
- Practice address
- 3259 Catlin Ave
Quantico, VA 22134-5109 - Phone
- (703) 681-8552
- NPI assigned
- Jul 30, 2015
- Last updated
- Apr 30, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2015018290 | MO | Primary |
Addresses
Primary practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Other practice location 1
Nh Pensacola 6000 W Hwy 98
Pensacola, FL 32512-1898
Phone (850) 505-6139
Other practice location 2
One Boone Road
Naval Hospital
Bremerton, WA 98312-1898
Phone (360) 315-4287
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 |
|---|---|---|---|
| 2015018290 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1912382011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3259 CATLIN AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3259 CATLIN AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345109",
"telephone_number": "703-681-8552"
}
],
"practiceLocations": [
{
"address_1": "Nh Pensacola 6000 W Hwy 98",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325121898",
"country_code": "US",
"telephone_number": "850-505-6139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "One Boone Road",
"address_2": "Naval Hospital",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983121898",
"country_code": "US",
"telephone_number": "360-315-4287",
"fax_number": "360-315-4286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "PAULA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2015018290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quantico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.