Active NPI
Kristin Davidson, D.D.S.
- General Practice Dentistry
- Chester, VA
National Provider Identifier
1922412519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414458
- Practice address
- 2930 W Hundred Rd
Chester, VA 23831-2126 - Phone
- (804) 751-0146
- NPI assigned
- Jun 11, 2014
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414458 | VA | Primary |
Addresses
Primary practice location
2930 W Hundred Rd
Chester, VA 23831-2126
Mailing address
2930 W Hundred Rd
Chester, VA 23831-2126
Phone (804) 751-0146
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 |
|---|---|---|---|
| 0401414458 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1922412519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 W HUNDRED RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238312126",
"telephone_number": "804-751-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 W HUNDRED RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238312126",
"telephone_number": "804-751-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
- David N. Brown, LCSW LLC
- David R Ferry DDS PC
- David R. Beam and Associates,LTD
- David R. Ferry D.D.S., P.C. (River's Bend Family and Cosmetic Dentistry)
- Fayeshon Davidson, MS, QMHP-A, QMHP-C
- Davis and Nyczepir Ortho Dre PLLC
- Brandi Davis, DPT
- Lynn Valerie Davis, CFNP
- Mikal D Davis, PT
- Veronica Davis, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.