DR. JERRY ROBERT DAVIS (NPI# 1114003597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003597 |
| Entity Type | Individual |
| Full Name | DR. JERRY ROBERT DAVIS |
| Credential | D.D.S. |
| Practice Address |
494 S Emerson Ave Suite K Greenwood IN 46143-1912 |
| Practice Telephone | 3178822880 |
| Practice Fax Number | 3178822544 |
| Mailing Telephone | 3178822880 |
| Mailing Fax Number | 3178822544 |
| Enumeration Date | 2006-10-28 |
| 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 |
7595 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179003 | Jerry Thomas Davis | Family Medicine | 6302 A Jacksboro Hwy, Fort Worth, TX 76135-3602 | 2006-10-17 |
| 1356357495 | Jerry Wayne Davis | General Acute Care Hospital | 2715 Avenue N, Nederland, TX 77627-7814 | 2006-07-31 |
| 1457323560 | Jerry Davis | Counselor | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2006-02-02 |
| 1578046538 | Jerry L Davis Jr. | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2018-09-14 |
| 1306298591 | Jerry Davis | Counselor | 3401 Eudora St, Denver, CO 80207-2500 | 2016-07-12 |
| 1699083436 | Jerry Heath Davis | Pharmacist | 120 Carbon City Rd, Morganton, NC 28655-4226 | 2010-09-15 |
| 1225365265 | Jerry Bernard Davis | Pharmacist | 6551 Forest Hill Dr, Forest Hill, TX 76140-1205 | 2009-11-12 |
| 1932300563 | Jerry Davis | Counselor | 348 13th St, Brooklyn, NY 11215-5004 | 2007-05-30 |
| 1912045683 | Jerry Davis | Pharmacist | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
| Street Address |
494 S EMERSON AVE SUITE K |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502498 | Constance J Tooley | Counselor | 494 S Emerson Ave, Suite B, Greenwood, IN 46143-1912 | 2005-10-18 |
| 1114319522 | Diane M. Stone | Counselor | 494 S Emerson Ave, Suite B, Greenwood, IN 46143-1912 | 2015-02-21 |
| 1093145955 | Renee Heldman | Counselor | 494 S Emerson Ave, B, Greenwood, IN 46143-1912 | 2013-11-13 |
| 1841629995 | Barrow and Associates | Psychologist | 494 S Emerson Ave, Suite B, Greenwood, IN 46143-1912 | 2013-11-08 |
| 1841541711 | The Bachman Group, P.C. | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2012-10-02 |
| 1013212729 | Senior Helpers | In Home Supportive Care | 494 S Emerson Ave, Suite I-2, Greenwood, IN 46143-1912 | 2011-01-12 |
| 1588893358 | Jenny Ilisha Munden | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2009-07-14 |
| 1154512101 | Cara Aileen Misetic | Psychologist | 494 S Emerson Ave, Suite D, Greenwood, IN 46143-1912 | 2007-08-06 |
| 1750599981 | Great Lakes Institute for Neuropsychology & Behavioral Health | Psychologist | 494 S Emerson Ave, Suite C, Greenwood, IN 46143-1912 | 2007-05-20 |
| 1659589885 | Sanford Lloyd Pederson | Clinical Neuropsychologist | 494 S Emerson Ave, Suite C, Greenwood, IN 46143-1912 | 2007-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| 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 |
|---|---|---|---|---|
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1356836951 | Mfdc of Indiana, Inc | Dentist | 1642 Olive Branch Parke Ln Ste 700, Greenwood, IN 46143-5900 | 2018-06-26 |
| 1932582335 | Zachary A Campano Dds LLC | Dentist | 3001 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2015-07-02 |
| 1104246750 | Kenneth Adams Jr. | Dentist | 1759 Vidalia Ct, Greenwood, IN 46143-6946 | 2014-04-22 |
| 1801229224 | First Choice Dental of Greenwood | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2013-08-21 |
| 1215201009 | Adam Weems | Dentist | 1705 Strong Ave Ste A, Greenwood, MS 38930-3923 | 2012-02-27 |
| 1871872317 | Dental Health Assoc of In PC | Dentist | 1642 Olive Branch Parke Ln, Suite 700, Greenwood, IN 46143-6447 | 2011-08-16 |
| 1740593342 | Maneesha R Chigurupati | Dentist | 3531 Streamside Dr, Greenwood, IN 46143-6745 | 2010-07-23 |
| 1144532318 | Kristin Stevens | Dentist | 5873 N State Road 135, Greenwood, IN 46143-5616 | 2010-07-05 |
| 1225268055 | Larry Michael Dyer | Dentist | 1320 Vicksburg South Dr, Greenwood, IN 46143-7791 | 2009-07-14 |
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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.