NPIMap

Organization Active NPI

Davis Dental Care LLC

  • Dentist
  • Bonaire, GA
National Provider Identifier
1942765243
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVIS DENTAL CARE LLC
Practice address
120 Ryan Davis CT
Bonaire, GA 31005-1104
Phone
(478) 922-5882
NPI assigned
Jan 31, 2019
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Dr. Ryan Davis, DMDNPI 1639308133
Title
Owner
Phone
(478) 308-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

120 Ryan Davis CT
Bonaire, GA 31005-1104

Mailing address

120 Ryan Davis CT
Bonaire, GA 31005-1104
Phone (478) 308-2916

Other practice location 1

606 Spring St
Macon, GA 31201-2028
Phone (478) 746-4578

National Provider Directory

National Provider Directory
Tax ID family
Davis Dental Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Ryan Davis Ct
Bonaire, GA 31005
Phone (478) 922-5882

200 Corporate Pointe
Warner Robins, GA 31088
Phone (478) 922-5882

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1942765243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RYAN DAVIS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310051104",
            "telephone_number": "478-308-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RYAN DAVIS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310051104",
            "telephone_number": "478-922-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Spring St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012028",
            "country_code": "US",
            "telephone_number": "478-746-4578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-308-2916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaire, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.