DR. DARRELL W. DAVIS (NPI# 1750430955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750430955 |
| Entity Type | Individual |
| Full Name | DR. DARRELL W. DAVIS |
| Credential | DDS, PC |
| Practice Address |
17020 E Us Highway 40 Suite #7 Independence MO 64055-5361 |
| Practice Telephone | 8163507710 |
| Practice Fax Number | 8163507711 |
| Mailing Telephone | 8163507710 |
| Mailing Fax Number | 8163507711 |
| Enumeration Date | 2007-01-09 |
| 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 |
15136 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023143237 | Darrell Wade Davis | Chiropractor | 1155 Yellowstone Ave, Ste. F, Pocatello, ID 83201-4369 | 2007-02-21 |
| 1588743983 | Darrell Wayne Davis | Speech-Language Pathologist | 2370 Nw 95th Ave, Coral Springs, FL 33065-4978 | 2006-11-04 |
| 1376639252 | Darrell Mitchell Davis | Chiropractor | 501 South Harper Street, Laurens, SC 29360 | 2006-10-05 |
| 1669083754 | Darrell Davis | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-12 |
| 1730728395 | Darrell Lee Davis Jr. | Case Manager/Care Coordinator | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-12-31 |
| 1265952428 | Darrell Taylor Davis Sr. | Counselor | 3028 Gentilly Blvd, New Orleans, LA 70122-3808 | 2017-06-20 |
| 1336669514 | Darrell Davis | Counselor | 712 W 3rd St, Little Rock, AR 72201-2220 | 2017-06-20 |
| 1821458373 | Darrell Davis | Nurse Practitioner | 217 Railroad Ave, Donaldsonville, LA 70346-2527 | 2016-02-26 |
| Street Address |
17020 E US HIGHWAY 40 SUITE #7 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-5361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861409617 | Walter E Dean | Preventive Medicine | 17020 E Us Highway 40, Independence, MO 64055-5361 | 2006-08-02 |
| 1548685753 | Spero Medical Imaging LLC | Clinic/Center | 17020 E Us Highway 40, Suite 4, Independence, MO 64055-5361 | 2014-02-25 |
| 1356547780 | Darrell W. Davis, D.d.s., P.c | Dentist | 17020 E Us Highway 40, #7, Independence, MO 64055-5361 | 2007-06-22 |
| 1841330230 | Midwest Neuroscience | Specialist | 17020 E Us Highway 40, Suite 8, Independence, MO 64055-5361 | 2007-02-07 |
| 1811056989 | Charles E. Hare | Audiologist | 17020 E Us Highway 40, Suite 9, Independence, MO 64055-5361 | 2006-12-06 |
| 1225105976 | Charles Hare Holding Co LLC | Audiologist | 17020 E Us Highway 40, Suite 9, Independence, MO 64055-5361 | 2006-11-29 |
| 1083729735 | Paul J Hallgrimson | Preventive Medicine | 17020 E Us Highway 40, Independence, MO 64055-5361 | 2006-08-21 |
| 1033224787 | H C Palmer | Preventive Medicine | 17020 E Us Highway 40, Independence, MO 64055-5361 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1568946523 | Thomas M Bilski Dds and Associates Inc | Dentist | 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 | 2018-09-17 |
| 1790276442 | Julia Suzanne Jenkins | Dentist | 2052 Harris Pike # 54, Independence, KY 41051-7783 | 2018-05-29 |
| 1760920805 | Mortenson Family Dental Center - Independence, LLC | Dentist | 2052 Harris Pike, Independence, KY 41051-7783 | 2017-02-09 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1154737658 | Devishkumar H Patel | Dentist | 2320 W Main St, Independence, KS 67301-8435 | 2014-07-03 |
| 1609182286 | Jeffrey David Peter | Dentist | 2025 Declaration Dr Ste B, Independence, KY 41051-7983 | 2010-08-20 |
| 1831427731 | Michael James Beauregard | Dentist | 11105 E Winner Rd, Independence, MO 64052-3837 | 2009-12-03 |
| 1679733265 | Porter James Clark | Dentist | 422 E Main St, Independence, KS 67301-3716 | 2008-06-17 |
| 1447458773 | Danny Nakhla | Dentist | 5302 Madison Pike, Independence, KY 41051-8652 | 2007-07-09 |
| 1609071067 | Carl James Stefaniak | Dentist | 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 | 2007-06-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on DR. DARRELL W. 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.