DR. JASON O. DAVIS (NPI# 1306133392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306133392 |
| Entity Type | Individual |
| Full Name | DR. JASON O. DAVIS |
| Credential | DDS |
| Practice Address |
4552 Kings Hwy Brooklyn NY 11234-2028 |
| Practice Telephone | 7187916295 |
| Practice Fax Number | 7187916295 |
| Mailing Telephone | 9177035962 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11888 | CT | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
057168 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356870927 | Jason Thomas Davis | Counselor | 2530 Crawford Ave Ste 208, Evanston, IL 60201-4959 | 2017-06-07 |
| 1124443486 | Jason Davis | Physical Therapy Assistant | 1840 Hudson Hollow Rd, Stephens City, VA 22655-3330 | 2014-02-24 |
| 1023322633 | Jason Brandon Davis | Emergency Medical Technician, Basic | 172 Elvington Ln, Lexington, SC 29073-8875 | 2010-08-06 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1467424606 | Jason M Davis | Pediatrics | 183 Cherry St, New Canaan, CT 06840-4820 | 2006-02-02 |
| 1174513832 | Jason Davis | Chiropractor | 16 Highland Spring Rd, Lewiston, ME 04240-3856 | 2005-10-25 |
| 1023632205 | Jason Davis | Physician Assistant | 590 Court St, Keene, NH 03431-1719 | 2020-06-03 |
| 1174029870 | Jason Davis | General Practice | 619 19th St South, Jt N338, Birmingham, AL 35071 | 2018-04-02 |
| 1205352614 | Jason Michael Davis | Physical Therapy Assistant | 13220 Usf Laurel Drive, Tampa, FL 33612 | 2017-08-17 |
| 1801321120 | Jason Davis | Optometrist | 2660 Sw Immanuel Dr, Palm City, FL 34990-2738 | 2017-04-24 |
| Street Address |
4552 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950186 | Donna Chen | Dentist | 390 Berry St Ste B, Brooklyn, NY 11249-6086 | 2018-04-30 |
| 1801316419 | Kinderee Family Dentistry | Dentist | 2905 Fort Hamilton Pkwy, Brooklyn, NY 11218-1681 | 2017-06-24 |
| 1265989008 | Julia Dental Pediatrics | Dentist | 310 Brighton Beach Ave, Brooklyn, NY 11235-7450 | 2016-09-09 |
| 1386090504 | Melissa Levinsky | Dentist | 220 72nd St Apt A2, Brooklyn, NY 11209-2140 | 2016-05-05 |
| 1265896849 | Esther Yun | Dentist | 250 N 10th St Apt 332, Brooklyn, NY 11211-2822 | 2016-04-08 |
| 1770946931 | Yellow Bear Pediatric Dentistry, Pllc | Dentist | 331 Knickerbocker Ave, Suite 3b, Brooklyn, NY 11237-3601 | 2016-04-04 |
| 1568822732 | Pediatric Dental and Associates of Brooklyn PC | Dentist | 2464 Coney Island Ave, 2nd Floor, Brooklyn, NY 11223-5022 | 2016-03-02 |
| 1750757761 | Cai Huan Zhang | Dentist | 235 Adams St Apt 5k, Brooklyn, NY 11201-2876 | 2015-08-12 |
| 1073996625 | Park Slope Kids Dental Care | Dentist | 150 Fouth Ave, Brooklyn, NY 11217-3145 | 2015-07-01 |
| 1740661172 | Carter Le | Dentist | 834 Flatbush Ave, Brooklyn, NY 11226-3102 | 2015-06-11 |
| Find all providers in BROOKLYN | ||||
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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.