Philip Davis, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHILIP DAVIS, DDS PA

Practice address

4100 W 28TH Ave
Pine Bluff, AR 71603-4726

Phone

(870) 879-4870

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Sara Burrow

Title

Insurance Admin

Phone

(501) 940-1530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1952998114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034726",
            "telephone_number": "870-879-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034726",
            "telephone_number": "870-879-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP DAVIS, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "BURROW",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "INSURANCE ADMIN",
        "authorized_official_telephone_number": "501-940-1530"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230610608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayna Penister
• Sarvani Devi Saranya Pentakota
• Charles Perrin, PHARMD
• Clayton Foster Perry, MD
• Vincent R Phenix
• Emma Kate Philley, MS, LAC
• Jamisha Phillips, QBHP
• Jennifer D Phillips, BS, MHPP
• Marcus C Phillips, BS, MHPP
• Tatiana Phillips

• General Practice Dentistry in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.