Rusty Kip Davis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411820 Issued in VA

Practice address

400 S Magnolia Ave
Waynesboro, VA 22980-3648

Phone

(540) 943-2723

Fax

(540) 943-1419

NPI assigned

Nov 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1932380250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAGNOLIA AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803648",
            "telephone_number": "540-943-2723",
            "fax_number": "540-943-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAGNOLIA AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803648",
            "telephone_number": "540-943-2723",
            "fax_number": "540-943-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RUSTY",
        "middle_name": "KIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9535",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daily Living Center, Inc.
• Douglas Daniels
• Dash Inc.
• David W Garber
• Jennifer Elaine Davis, O.D.
• Thomas Andrew Davis, DC
• Michelle Lynn Wood Dawson, M.S. CCC-SLP, BCS-S
• Allison Delawder, P.A.
• Robin Melody Delbiondo, CPC
• Cynthia Hall Dent, M.D.

• General Practice Dentistry in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.