DR. RICHARD DAVIDSON (NPI# 1174732416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174732416 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DAVIDSON |
| Credential | D.M.D.,M.S. |
| Practice Address |
950 Francis Pl Suite 117 Clayton MO 63105-2465 |
| Mailing Address |
35 Summerhill Ln Chesterfield MO 63017-8408 |
| Practice Telephone | 3147214860 |
| Practice Fax Number | 3147214860 |
| Mailing Telephone | 3144341107 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
11304 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536305 | Richard Isaac Davidson | Licensed Practical Nurse | 22447 24th Ave S, Des Moines, WA 98198-7103 | 2018-01-22 |
| 1003117672 | Richard Lloyd Davidson | Nurse Anesthetist, Certified Registered | 237 Lake Terrace Dr, Hendersonville, TN 37075-5148 | 2010-11-12 |
| 1992983407 | Richard David Davidson | Counselor | 3718 S Elm Pl, Suite 3718, Broken Arrow, OK 74011-1803 | 2008-02-06 |
| 1003956673 | Richard Michael Davidson | Optometrist | 8025 Tysons Corner Ctr, Mc Lean, VA 22102-4525 | 2007-02-06 |
| 1952462749 | Richard D Davidson | Dentist | 703 N Niles Ave, Tuscola, IL 61953-1059 | 2006-12-13 |
| 1497852743 | Richard Michael Davidson | Chiropractor | 1449 Yamato Rd, Ste 2, Boca Raton, FL 33431-4471 | 2006-09-20 |
| 1902813264 | Richard Davidson | Dentist | 512 W Broadway, Cedarhurst, NY 11516-1612 | 2006-08-01 |
| 1598714867 | Richard Trevor Davidson | Physical Therapist | 2603 W Pleasant Grove Rd, Ste 104, Rogers, AR 72758-5804 | 2006-05-06 |
| 1891096186 | Richard Summerfield Davidson | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2010-11-03 |
| 1780774455 | Richard Davidson | Ophthalmology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| Street Address |
950 FRANCIS PL SUITE 117 |
| City | CLAYTON |
| State | MO |
| Zip Code | 63105-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730746934 | Megan Bigley | Speech-Language Pathologist | 950 Francis Pl, Clayton, MO 63105-2410 | 2019-05-22 |
| 1417429564 | Katlin Abt | Physical Therapist | 950 Francis Pl, Clayton, MO 63105-2410 | 2018-12-28 |
| 1932581360 | Elizabeth B Spataro Dmd | Dentist | 950 Francis Pl, Suite 206, Clayton, MO 63105-2465 | 2015-06-22 |
| 1194998724 | Suzanne Elizabeth Gregoire | Dentist | 950 Francis Pl, Suite 206, Clayton, MO 63105-2465 | 2008-04-03 |
| 1124247036 | Lydia M. Seibert | Physical Therapist | 950 Francis Pl, Clayton, MO 63105-2465 | 2007-04-25 |
| 1720111669 | David I Mason | Audiologist | 950 Francis Pl, Suite 200, Clayton, MO 63105-2465 | 2007-03-13 |
| 1518093699 | Steven D. Chod | Dentist | 950 Francis Pl, Suite 210, Clayton, MO 63105-2465 | 2007-02-26 |
| 1548395007 | Barry A. Polinsky | Dentist | 950 Francis Pl, Ste 210, Clayton, MO 63105-2465 | 2007-02-23 |
| 1922133495 | Endodontic Specialists | Dentist | 950 Francis Pl, Ste 210, Clayton, MO 63105-2465 | 2007-02-23 |
| 1396835690 | Optical Specialists,inc | Technician/Technologist | 950 Francis Pl, Clayton, MO 63105-2465 | 2006-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233089 | Seth Rush, D.d.s., M.s., L.L.C. | Dentist | 9233 Ward Pkwy Ste 330, Kansas City, MO 64114-3310 | 2016-01-15 |
| 1861877227 | Pierluigi Balice | Dentist | 650 E 25th St # 277, Kansas City, MO 64108-2716 | 2015-07-28 |
| 1881960102 | Sara Layne Walls | Dentist | 833 Sw Lemans Ln Ste 234, Lees Summit, MO 64082-4618 | 2012-03-30 |
| 1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
| 1639494214 | Daniel J Thomas, Dds Periodontal Specialists, PC | Dentist | 3355 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2010-04-07 |
| 1679804157 | John C Hoppin, Dds., PC | Dentist | 1 Westbury Dr Ste 300, Saint Charles, MO 63301-2560 | 2010-01-22 |
| 1750537320 | Robert R. Schlueter Dmd PC | Dentist | 9914 Kennerly Rd., St. Louis, MO 63128-2704 | 2008-08-14 |
| 1972785533 | Amy Leigh Gillihan | Dentist | 3151 S 291 Hwy, Suite B, Independence, MO 64057-2602 | 2007-12-05 |
| 1750590139 | Humaira Y Habib | Dentist | 420 S Pearl Ave, Ste 4, Joplin, MO 64801-2541 | 2007-05-22 |
| 1225240856 | Videsh Damodar Deshmukh | Dentist | 300 Chesterfield Ctr, Siute # 160, Chesterfield, MO 63017-4867 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.