DR. KIRK JAY DAVIS (NPI# 1649481086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649481086 |
| Entity Type | Individual |
| Full Name | DR. KIRK JAY DAVIS |
| Credential | D.D.S. |
| Practice Address |
15615 W Dodge Rd Omaha NE 68118-2046 |
| Practice Telephone | 4026149378 |
| Practice Fax Number | 4025024960 |
| Mailing Telephone | 4026149378 |
| Mailing Fax Number | 4025024960 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4682 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639152978 | Kirk R. Davis | Orthopaedic Surgery | 4126 N Holland Sylvania Road, 100, Toledo, OH 43623 | 2005-11-21 |
| 1508852849 | Kirk W Davis | Podiatrist | 601 Wayne Ave, Chambersburg, PA 17201-3805 | 2005-09-22 |
| 1265834725 | Kirk Edward Davis | Pharmacist | 2939 Ocean Beach Hwy, Longview, WA 98632-3513 | 2014-09-16 |
| 1437475456 | Kirk Edward Davis | Pharmacist | 2907 Cochran St, Simi Valley, CA 93065-2773 | 2010-04-15 |
| 1548284821 | Kirk Davis | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401-2905 | 2006-07-27 |
| Street Address |
15615 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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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.