NPIMap

Organization Active NPI

Keisha B Davis, DDS, PA

  • Dental Clinic/Center
  • Holly Springs, NC
National Provider Identifier
1992982672
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6655 Issued in NC
Legal business name
KEISHA B DAVIS, DDS, PA
Practice address
500 Holly Springs Rd
Ste 104
Holly Springs, NC 27540-6204
Phone
(919) 557-1871
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Keisha DavisNPI 1902939978
Title
President
Phone
(919) 557-1871

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
Dental Clinic/Center 261QD0000X 6655 NC Primary

Addresses

Primary practice location

500 Holly Springs Rd
Ste 104
Holly Springs, NC 27540-6204

Mailing address

500 Holly Springs Rd
Ste 104
Holly Springs, NC 27540-6204

National Provider Directory

National Provider Directory

Locations

500 Holly Springs Rd
Ste 104
Holly Springs, NC 27540
Phone (919) 466-7540

Practitioners & affiliated clinicians

Practitioners 1

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1992982672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "address_2": "STE 104",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "address_2": "STE 104",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-557-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEISHA B DAVIS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-557-1871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.