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Deactivated NPI 1790804888 Deactivated / Inactive NPI Male Practitioner

Dr. John M Davis , DDS, MSD

Dentist - Pediatric Dentistry • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date December 17, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Davis, DDS, MSD was a registered Dentist - Pediatric Dentistry practicing in Seattle, WA. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 1421 NW 85TH ST until profile deactivation on 2021-12-17.

Practice Location & Contact Primary Location

Practice Address

1421 Nw 85th St

Seattle, WA 981174298

Telephone 2067894035
Associated Practice Facility / Clinic
🏢 Nguyen Dds Ps Facility NPI 1346360567

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Seattle, WA (287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License WA 3014

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kristin Johannsen , DDS, MSD

Dentist - Pediatric Dentistry

NPI 1851478341

Doctor of Dental Surgery, MSD

Dr. Jeffrey Marks , DDS

Dentist - Pediatric Dentistry

NPI 1982710224

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 17, 2021

Record deactivated on December 17, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1421 NW 85TH ST, SEATTLE, WA 981174298 (Tel: 2067894035)

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Updated Business Mailing Address July 08, 2007

Registered at 1421 NW 85TH ST, SEATTLE, WA 981174298

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DAVIS, DDS, MSD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3014 in WA)

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Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790804888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Deactivation Date: December 17, 2021

Mailing Address

1421 Nw 85th St

Seattle, WA 981174298

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.