DAVIDSON FAMILY DENTAL/RAWLINS (NPI# 1538474036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538474036 |
Entity Type | Organization |
Organization Name | DAVIDSON FAMILY DENTAL/RAWLINS |
Practice Address |
1101 W Spruce St Rawlins WY 82301-5211 |
Mailing Address |
1101 W. Spruce St. Rawlins WY 82301 |
Practice Telephone | 3073243839 |
Mailing Telephone | 3073243839 |
Enumeration Date | 2010-08-10 |
Last Update Date | 2010-08-10 |
Authorized Official Name | CHRISTOPHER WAYNE DAVIDSON (DENTIST) |
Authorized Official Telephone | 3073243839 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
1101 W SPRUCE ST |
City | RAWLINS |
State | WY |
Zip Code | 82301-5211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134291131 | Glenn Dale Biggs | Social Worker | 1101 W Spruce St, Rawlins, WY 82301-5211 | 2006-11-14 |
1578919924 | Dr Luan K Tran Dds PC Inc | Clinic/Center | 1101 W Spruce St, Rawlins, WY 82301-5211 | 2016-05-04 |
1588043160 | Luan K. Tran, Dds. PC. Inc | Dentist | 1101 W Spruce St, Rawlins, WY 82301-5211 | 2015-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583606 | Kyliah Petrita Ferris | Speech-Language Pathologist | 1801 Edinburgh Street #2, Rawlins, WY 82301 | 2020-09-16 |
1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
1861928012 | Stephanie Murry | Speech-Language Pathologist | 1801 Edinburgh, Rawlins, WY 82301 | 2017-05-10 |
1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
1194109520 | Alison Brown | Case Management | 2014 E Cedar St Suite B, Rawlins, WY 82301 | 2015-07-15 |
1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
1295019693 | Amber Jeanne Green | Case Manager/Care Coordinator | 1209 Lambda Dr, Rawlins, WY 82301 | 2011-10-04 |
1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
1588990949 | Skylar Jason Brenden | Chiropractor | 801 West Maple, Rawlins, WY 82301 | 2009-10-20 |
Find all providers in zip 82301 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578919924 | Dr Luan K Tran Dds PC Inc | Clinic/Center | 1101 W Spruce St, Rawlins, WY 82301-5211 | 2016-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
1497394068 | Star Valley Dental 1 LLC | Clinic/Center | 725 N Washington St, Afton, WY 83110-1390 | 2019-12-31 |
1467090571 | Scott Dental LLC | Clinic/Center | 1212 S. River Street, Saratoga, WY 82331 | 2019-12-19 |
1508322603 | Blacks Fork Dental, PC | Clinic/Center | 650 Parkway Dr, Mt View, WY 82939 | 2019-02-13 |
1033699533 | Oak Haven Dental | Clinic/Center | 8125 State Highway 789, Lander, WY 82520-2926 | 2018-08-15 |
1801337902 | Dental Arts PC | Clinic/Center | 3421 E Garfield St, Laramie, WY 82070-5163 | 2017-03-09 |
1669916334 | Braces U Wyoming PC | Clinic/Center | 6900 Yellowtail Rd Ste 100, Cheyenne, WY 82009-6102 | 2016-12-14 |
1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
1003069865 | Wyoming Cosmetic and Family Dental | Clinic/Center | 4620 Grandview Ave, Cheyenne, WY 82009-4963 | 2008-10-24 |
1467561167 | Bozeman Trail Orthodontics PC | Clinic/Center | 932 South David St, Casper, WY 82601 | 2006-08-29 |
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.