ZACHERY TYLER DAVIS (NPI# 1336641000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336641000 |
| Entity Type | Individual |
| Full Name | ZACHERY TYLER DAVIS |
| Practice Address |
7525 N Cedar Ave Ste 105 Fresno CA 93720-2698 |
| Mailing Address |
1917 Minarets Ln Clovis CA 93611-6995 |
| Practice Telephone | 5594396600 |
| Mailing Telephone | 8019462028 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DDS105061 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8110 Birmingham Way Bldg 28, San Diego, CA 921232758 | 6192051950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808256 | Zachery Hunter Davis | Pharmacist | 1070 Highway 51, Madison, MS 39110-9084 | 2019-12-12 |
| Street Address |
7525 N CEDAR AVE STE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821161001 | Jeffrey R. Kunkel | Dentist | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2689 | 2006-11-16 |
| 1578037495 | Juanita Julia Rivas | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2019-01-14 |
| 1346712874 | Paula Felicia Aguirre | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-12-21 |
| 1033681523 | Crystal Nichole Davis | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-12-20 |
| 1376013128 | Michele Anna-marie Anderson | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-12-04 |
| 1255643508 | Jordan David Prieto | Dentist | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1164881413 | Corbin Smith | Dentist | 7005 N Chestnut Ave Ste 101, Fresno, CA 93720-0348 | 2016-02-15 |
| 1003102443 | California Kidds Pediatric Dentistry | Dentist | 7525 N. Cedar Ave, #105, Fresno, CA 93720 | 2011-06-23 |
| 1316102015 | Jeffrey Baird Evans | Dentist | 7525 N. Cedar Ave., Suite 105, Fresno, CA 93720 | 2008-07-22 |
| 1134285877 | Maria Sheu Kidwell | Dentist | 1705 N Fine Ave, Ste. 102, Fresno, CA 93727 | 2006-12-28 |
| 1801984513 | Susie Kalinian | Dentist | 323 E Bullard Ave, Suite 103, Fresno, CA 93710-5286 | 2006-10-10 |
| 1588672877 | Rick J Jelmini | Dentist | 7104 N Fresno St Ste 101, Fresno, CA 93720-2970 | 2006-08-03 |
| 1912443029 | Alan J Vallarine Dds Inc 2 | Dentist | 2828 Fresno St, Suite 100, Fresno, CA 93721-1327 | 2017-01-12 |
| 1669866695 | Jordan Prieto Dds, Inc. | Dentist | 6245 N Fresno St Ste 103, Fresno, CA 93710-5270 | 2015-03-27 |
| Find all providers in FRESNO | ||||
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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.