MR. JACK JUSTIN DAVIS (NPI# 1235242652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235242652 |
| Entity Type | Individual |
| Full Name | MR. JACK JUSTIN DAVIS |
| Credential | DDS |
| Practice Address |
543 West Ave Rifle CO 81650-3553 |
| Practice Telephone | 9706251391 |
| Practice Fax Number | 9706259372 |
| Mailing Telephone | 9706251391 |
| Mailing Fax Number | 9706259372 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104954 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447817127 | Jack Wayland Davis II | Student in an Organized Health Care Education/Training Program | 1109 Flagship Dr, Vallejo, CA 94592-1114 | 2019-05-29 |
| 1225104250 | Jack M Davis | Podiatrist | 2251 W 900 N, Farr West, UT 84404-9586 | 2006-11-28 |
| 1396297966 | Jack Davis | Peer Specialist | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-10-31 |
| 1063529162 | Jack Mathew Davis | Nurse Practitioner | 18th Medcom, Attn: Dccs-qm (credentials), Apo, AP 96205-0054 | 2006-08-24 |
| Street Address |
543 WEST AVE |
| City | RIFLE |
| State | CO |
| Zip Code | 81650-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811416282 | Denise Louise Schroeder | Dental Hygienist | 195 W. 14th St, Rifle, CO 81650 | 2017-09-16 |
| 1922476456 | Reanna Moore | Dietitian, Registered | 501 Airport Road, Grand River Health, Rifle, CO 81650 | 2015-09-15 |
| 1497155410 | Kelli Yaney | Dental Hygienist | 195 W. 14th St., Rifle, CO 81650 | 2014-08-27 |
| 1558607721 | Garfield County Public Health | Public Health or Welfare | 195 W. 14th Street, Rifle, CO 81650 | 2012-12-17 |
| 1437409869 | Dayle Lynn Christensen | Dental Hygienist | 1430 Railroad Ave Suite B, Rifle, CO 81650 | 2012-09-13 |
| 1962779017 | Alyson Daun Johnson | Dental Hygienist | 600 Fairway Ave, Rifle, CO 81650 | 2011-11-17 |
| 1598051534 | Joshua William Kanik | Family Medicine | 501 Airport Rd Fl 2, Rifle, CO 81650 | 2011-06-28 |
| 1568761815 | Shelly Foote | Pharmacist | 1320 Railroad Ave., Rifle, CO 81650 | 2011-03-24 |
| 1285886010 | Patrick Nmi Miller | Chiropractor | 201 W. 3rd St, Suite 104, Rifle, CO 81650 | 2008-10-10 |
| 1215198320 | Lihua Du | Internal Medicine | 501 Airport Rd., Rifle, CO 81650 | 2008-06-20 |
| Find all providers in zip 81650 | ||||
| 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 |
|---|---|---|---|---|
| 1750565685 | Clifford B Cappelli Dmd PC | Dentist | 527 West Ave, Rifle, CO 81650-3553 | 2007-12-27 |
| 1346444858 | Chad D Burgess | Dentist | 900 E 16th St, Rifle, CO 81650-4711 | 2007-06-11 |
| 1730301227 | Charles A Townsend | Dentist | 124 E 4th Street, Rifle, CO 81650 | 2007-05-03 |
| 1962546440 | Clifford B Cappelli | Dentist | 1430 Railroad Ave Ste B, Rifle, CO 81650-3334 | 2007-02-16 |
| 1568462810 | Stephen Z Dembitsky | Dentist | 160 E 26th St, Ste 1, Rifle, CO 81650-3160 | 2005-07-28 |
| 1619463650 | Audrey Schaiberger Fisher | Dentist | 195 W 14th Ste C, Rifle, CO 81650-4717 | 2018-07-02 |
| 1639536055 | Connor Rivers | Dentist | 195 W 14th, Bldg C, Rifle, CO 81650-4716 | 2016-01-15 |
| 1689987083 | Garry Dean Millard | Dentist | 195 W 14th, Building C, Rifle, CO 81650-4700 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848496 | Vantage Pointe Dental Pllc | Dentist | 11410 Via Varra Unit 400, Broomfield, CO 80020-9764 | 2020-10-12 |
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1588279350 | Parker Alan Drake | Dentist | 36 E Allen St Ste 100, Castle Rock, CO 80108-7823 | 2020-09-09 |
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JACK JUSTIN DAVIS.
| 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.