DR. THERESA BEAN DAVIS DDS
NPI 1205963360
Dentist - General Practice in Kettering, OH
About Dr. Theresa Bean Davis Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THERESA BEAN DAVIS DDS (NPI 1205963360) is an individual general practice provider in Kettering, Ohio, licensed in Ohio (30-02-0692) and active in the NPI registry since February 2007. She has opted out of Medicare through July 22, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Theresa Bean Davis Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2015 through July 22, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Davis's NPI number?
The NPI number for Theresa Davis is 1205963360. It was assigned to this individual provider in the NPPES registry on February 27, 2007.
Where is Theresa Davis located?
Theresa Davis practices at 307 E Stroop Rd, Kettering, OH 45429. The listed phone number is (937) 299-6766.
What is Theresa Davis's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Theresa Davis enrolled in Medicare?
No. Theresa Davis has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Theresa Davis accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 2 other insurers list Theresa Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theresa Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theresa Bean Davis, DDS · NPI 1205963360
General Practice provider in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1205963360 (Entity type: Individual)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 30-02-0692 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 E STROOP RD, Kettering, OH 45429-2827
- **Phone:** (937) 299-6766
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 22, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1205963360) · Data from the CMS NPPES public registry.