Gregg R Davidson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30529 Issued in CA

Practice address

6600 Mercy CT Ste 200
Fair Oaks, CA 95628-3198

Phone

(916) 966-6060

Fax

(916) 966-1330

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1942389937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 200",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283198",
            "telephone_number": "916-966-6060",
            "fax_number": "916-966-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 200",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283198",
            "telephone_number": "916-966-6060",
            "fax_number": "916-966-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "GREGG",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "30529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Daniel
• Dorin Daniliuc
• Julia Davena, RADT
• David J Lau & Wesley S Umeda PTR (Fair Oaks Optometry Group)
• David Polley Chiropractic PC Inc (Fair Oaks Chiropractic)
• Brittany Ann Davis
• Kristin Elizabeth Davis, RN, PHN, ACN
• Leslie Davis, MFT
• Mariza Davis
• Christine De Guzman, MSW, ACSW

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.