DAVIS PERIODONTICS (NPI# 1881950954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881950954 |
| Entity Type | Organization |
| Organization Name | DAVIS PERIODONTICS |
| Practice Address |
5850 E 2nd St Ste 100 Casper WY 82609-4342 |
| Practice Telephone | 3074720207 |
| Practice Fax Number | 3074720259 |
| Mailing Telephone | 3074720207 |
| Mailing Fax Number | 3074720259 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | DR. MICHAEL A DAVIS (DENTIST) |
| Authorized Official Telephone | 3074720207 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1274 | WY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | INDIVIDUAL | 1568682011 | 01 |
| Street Address |
5850 E 2ND ST STE 100 |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568682011 | Michael Asay Davis | Dentist | 5850 E 2nd St, Ste 100, Casper, WY 82609-4342 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| 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 |
|---|---|---|---|---|
| 1568682011 | Michael Asay Davis | Dentist | 5850 E 2nd St, Ste 100, Casper, WY 82609-4342 | 2007-04-26 |
| 1245313790 | Richard Everett Dayton | Dentist | 643 South Durbin, Casper, WY 82601-3151 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851428536 | David Kenneth Okano | Dentist | 1208 Hilltop Dr Ste 209, Rock Springs, WY 82901-5860 | 2007-02-28 |
| 1326127234 | Cheyenne Periodontics, PC | Dentist | 1401 Airport Pkwy, Suite 110, Cheyenne, WY 82001-1518 | 2006-11-02 |
| 1902982226 | John C Van Ginkel | Dentist | 1401 Airport Pkwy, Suite 110, Cheyenne, WY 82001-1518 | 2006-10-29 |
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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.