NPIMap

Organization Active NPI

J. Patrick Davis & Matthew Davis

  • Dental Clinic/Center
  • Encinitas, CA
National Provider Identifier
1962701946
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
26834 Issued in CA
Legal business name
J. PATRICK DAVIS & MATTHEW DAVIS
Practice address
477 N El Camino Real Ste B203
Encinitas, CA 92024-1353
Phone
(760) 942-1131
Fax
(760) 942-4868
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. J. Patrick Davis, DDS, MS
Title
Owner/Dentist
Phone
(760) 942-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 26834 CA Primary

Addresses

Primary practice location

477 N El Camino Real Ste B203
Encinitas, CA 92024-1353

Mailing address

477 N El Camino Real Ste B203
Encinitas, CA 92024-1353
Phone (760) 942-1131

Other names 1

  • Davis Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1962701946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE B203",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241353",
            "telephone_number": "760-942-1131",
            "fax_number": "760-942-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE B203",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241353",
            "telephone_number": "760-942-1131",
            "fax_number": "760-942-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PATRICK DAVIS & MATTHEW DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "J. PATRICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "760-942-1131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "26834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.