DR. KEENAN M DAVIS (NPI# 1881714657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881714657 |
Entity Type | Individual |
Full Name | DR. KEENAN M DAVIS |
Credential | DDS |
Practice Address |
317 Edwin Drive Virginia Beach VA 23462 |
Practice Telephone | 7574992100 |
Practice Fax Number | 7574992999 |
Mailing Telephone | 7574992100 |
Mailing Fax Number | 7574992999 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401008797 | VA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 179331 | 01 | |
TRICARE | 01398710 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578876561 | Keenan Davis | Rehabilitation Practitioner | 370 Crenshaw Blvd Ste E100, Torrance, CA 90503-1728 | 2010-07-19 |
Street Address |
317 EDWIN DRIVE |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568561900 | Partners In Dental Health LLC | Dentist | 317 Edwin Drive, Virginia Beach, VA 23462 | 2006-09-22 |
1720103948 | Dean E Kent | Dentist | 317 Edwin Drive, Virginia Beach, VA 23462 | 2007-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
Find all providers in zip 23462 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
Find all providers with the same taxonomy |
City | VIRGINIA BEACH |
Zip Code | 23462 |
Please comment or provide details below to improve the information on DR. KEENAN M 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.