DR. KEN DAVIS (NPI# 1396837456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396837456 |
| Entity Type | Individual |
| Full Name | DR. KEN DAVIS |
| Credential | DMD |
| Practice Address |
33 Sicomac Rd North Haledon NJ 07508-2971 |
| Mailing Address |
321 Mendham Rd Bernardsville NJ 07924-1212 |
| Practice Telephone | 9734270300 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
008041 | NJ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI00804100 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013436138 | Ken Davis | Counselor | 2009 Ne 117th St, Vancouver, WA 98686-4022 | 2017-09-11 |
| 1013176890 | Ken D Davis | Counselor | 1305 Mansfield St, Suite 5, Richland, WA 99352-3588 | 2008-06-05 |
| 1740483452 | Ken Davis | Counselor | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-06-08 |
| Street Address |
33 SICOMAC RD |
| City | NORTH HALEDON |
| State | NJ |
| Zip Code | 07508-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622140 | David L. Rajkowski | Optometrist | 33 Sicomac Rd, Suite 204, North Haledon, NJ 07508-2971 | 2006-01-03 |
| 1144351560 | High Mountain Eyecare, LLC | Optometrist | 33 Sicomac Rd, Suite 204, North Haledon, NJ 07508-2971 | 2007-03-08 |
| 1073681060 | Gregory Vanvlietdds,peter Perera Dmd,pa | Dentist | 33 Sicomac Rd, North Haledon, NJ 07508-2971 | 2006-11-30 |
| 1730265547 | Pamela Zimmitti Rajkowski | Optometrist | 33 Sicomac Rd, North Haledon, NJ 07508-2971 | 2006-10-27 |
| 1417049255 | Peter Michael Perera | Dentist | 33 Sicomac Rd, Suite 202, North Haledon, NJ 07508-2971 | 2006-09-29 |
| 1376635128 | Gregory John Vanvliet | Dentist | 33 Sicomac Rd, Suite 202, North Haledon, NJ 07508-2971 | 2006-09-29 |
| 1437137296 | Conrad G. Modica | Optometrist | 33 Sicomac Rd, North Haledon, NJ 07508-2971 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151047 | Life Opportunities Unlimited: A Non Profit Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Beam Place, Haledon, NJ 07508 | 2018-04-19 |
| 1508214099 | Diamond Years Adult Medical Day Care Center LLC | Clinic/Center | 360 West Clinton Street, Haledon, NJ 07508 | 2016-05-25 |
| 1922490838 | Fatima Evans | Licensed Practical Nurse | 232 Northb 12place, Prospectpark, NJ 07508 | 2015-03-02 |
| 1740415900 | Kristine Y. Salva | Nurse Practitioner | 4 Aspen Terrace, North Haledon, NJ 07508 | 2009-05-18 |
| 1669630810 | William J Trotter | Dentist | 475 High Mt Rd, North Halendon, NJ 07508 | 2008-05-23 |
| 1528107828 | Jeffrey Robert Schreiber | Psychologist | 546 High Mountain Road, North Haledon, NJ 07508 | 2007-02-05 |
| 1427109412 | Rehabilitation Associates of Prospect Park | Specialist | 265 N 9th St, Prospect Park, NJ 07508 | 2007-01-16 |
| 1598820557 | Charles Kerry Gleason | Chiropractor | 438 Haledon Avenue, Haledon, NJ 07508 | 2006-12-27 |
| 1245317296 | Jawdat Varoqua | Dentist | 318 Haledon Ave, Prospect Park, NJ 07508 | 2006-11-01 |
| 1427134162 | T & F Drugs Inc | Pharmacy | 467 High Mountain Rd, North Haledon, NJ 07508 | 2006-10-27 |
| Find all providers in zip 07508 | ||||
| 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 |
|---|---|---|---|---|
| 1194845149 | Jung Eun Huh | Dentist | 475 High Mountain Rd, North Haledon, NJ 07508-2664 | 2007-03-30 |
| 1073681060 | Gregory Vanvlietdds,peter Perera Dmd,pa | Dentist | 33 Sicomac Rd, North Haledon, NJ 07508-2971 | 2006-11-30 |
| 1245306406 | Sebu Idiculla | Dentist | 5 Sicomac Rd, Suite 12, North Haledon, NJ 07508-2972 | 2006-11-28 |
| 1417049255 | Peter Michael Perera | Dentist | 33 Sicomac Rd, Suite 202, North Haledon, NJ 07508-2971 | 2006-09-29 |
| 1376635128 | Gregory John Vanvliet | Dentist | 33 Sicomac Rd, Suite 202, North Haledon, NJ 07508-2971 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HALEDON |
| Zip Code | 07508 |
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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.