DR. JOHN ROBERT DAVIS


Address: 115 South 15th Avenue, Suite F, Pocatello, ID 83201-4068
Phone: 2082335500

DR. JOHN ROBERT DAVIS (NPI# 1629298369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629298369
Entity Type Individual
Full Name DR. JOHN ROBERT DAVIS
Credential DMD
Practice Address 115 South 15th Avenue
Suite F
Pocatello
ID 83201-4068
Practice Telephone 2082335500
Practice Fax Number 2082335508
Mailing Telephone 2082335500
Mailing Fax Number 2082335508
Enumeration Date 2007-04-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
D846 ID Dental Providers

Other Providers JOHN DAVIS

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1154821049 John Davis Case Manager/Care Coordinator 627 Bailey Chapel Rd, Piketon, OH 45661-9675 2018-02-16
1619487386 John E Davis Counselor 8101 Shaffer Pkwy Ste 102, Littleton, CO 80127-4108 2017-10-06
1093234684 John Davis Dentist 7100 Highway 98, Suite 210, Hattiesburg, MS 39402-8601 2017-09-14
1306384276 John Chase Davis Behavior Technician 8315 6th Pl Se, Lake Stevens, WA 98258-3688 2017-02-10
1598170276 John Davis Licensed Practical Nurse 10271 Dresden Rd, Dresden, OH 43821-9446 2014-06-21
1396174751 John Davis Sr. Registered Nurse 339 Kings Ridge Blvd, O Fallon, IL 62269-6327 2013-11-06

Office Location

Street Address 115 SOUTH 15TH AVENUE
SUITE F
City POCATELLO
State ID
Zip Code 83201-4068

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740457332 Michael G. Summers Dds, Ms, Pa Dentist 1133 Call Creek, Suite B, Pocatello, ID 83202 2008-05-13
1598989840 Michael G. Summers Dentist 1133 Call Creek Dr., Pocatello, ID 83201-3000 2007-04-11
1962504563 Eric D Johnson Dentist 625 E Alameda, Pocatello, ID 83201 2006-09-02
1780604702 Rufus Van Dyke IIi Dentist 1501 Bench Rd, Pocatello, ID 83201-2443 2006-07-20
1487802096 Rufus O. Van Dyke, D.d.s., M.cl.d Dentist 1455 Bench Rd, Suite A, Pocatello, ID 83201-5083 2008-09-08
1457570921 Robert Glenn Mcminn Dentist 1133 Call Creek Dr., Pocatello, ID 83201 2007-04-24
1508080599 Southeast Idaho Orthodontics, Pllc Dentist 625 E Alameda Rd, Pocatello, ID 83201-3622 2007-04-12
1942424916 Jeffrey T Mcminn Dentist 625 E Alameda Rd, Pocatello, ID 83201-3622 2007-04-12

Providers in the same taxonomy and state

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1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1093314932 Smile Bar LLC Dentist 602 N Calgary Ct Ste 302, Post Falls, ID 83854-4000 2020-10-21
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1194369371 Ikdo Emmett LLC Dentist 314 S Washington Ave, Emmett, ID 83617-2952 2019-10-31
1861954026 Ikdo Star LLC Dentist 12190 W Evely Pines Ln, Star, ID 83669-6126 2019-04-04
1356815427 Jkb Orthodontics Dentist 621 N Midland Blvd, Nampa, ID 83651-6525 2019-01-11
1184108706 Ikdo Fruitland LLC Dentist 1619 N Whitley Dr, Fruitland, ID 83619-2162 2018-09-19
1205330420 Jendy Pllc Dentist 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 2018-03-21
1841686649 Cascade Dental, PC Dentist 839 S Main Street, Cascade, ID 83611 2015-04-09
1194169649 Jordan Rodney Hillam Dentist 758 E 65th S, Idaho Falls, ID 83404-7696 2013-04-25
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Competitor

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City POCATELLO
Zip Code 83201

Improve Information

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Dataset Information

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.

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