Organization Active NPI

Danielle Davis LLC

Doing business as 901 Dental

  • Dentist
  • Arlington, TN
National Provider Identifier
1982108759
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10530 Issued in TN
Legal business name
DANIELLE DAVIS LLC
Doing business as
901 Dental
Practice address
9775 Highway 64 Ste 101
Arlington, TN 38002-8587
Phone
(512) 663-7611
NPI assigned
Mar 19, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Dr. Danielle Davis, DMDNPI 1144602731
Title
Member/Dentist
Phone
(901) 235-0709

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 10530 TN Primary

Addresses

Primary practice location

9775 Highway 64 Ste 101
Arlington, TN 38002-8587

Mailing address

9775 Highway 64 Ste 101
Arlington, TN 38002-8587
Phone (901) 235-0709

Other names 1

  • 901 Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1982108759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 HIGHWAY 64 STE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028587",
            "telephone_number": "901-235-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 HIGHWAY 64 STE 101",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028587",
            "telephone_number": "512-663-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE DAVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MEMBER/DENTIST",
        "authorized_official_telephone_number": "901-235-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "10530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "901 Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "901 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.