Individual provider Active NPI

William Gordon Davis Sr., D.C.

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1003987330
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6473 Issued in FL
Practice address
760 Barnes Blvd Ste 101-102
Rockledge, FL 32955-5423
Phone
(321) 735-8102
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6473 FL Primary

Addresses

Primary practice location

760 Barnes Blvd Ste 101-102
Rockledge, FL 32955-5423

Mailing address

760 Barnes Blvd Ste 101-102
Rockledge, FL 32955-5423
Phone (321) 735-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000023 FL Practitioner - Chiropractic 1557353190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Hurley Health Center LLCGroup PAC ID 0244647915, 6 clinicians

Practice addresses (Care Compare)

4087 US Hwy 1
Unit 102
Rockledge, FL 32955-5352
Phone (484) 707-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4445NCMDPsychologist
6473FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Chiropractic, P.a. Chiropractor CurrentSince Dec 1, 2019 Accepting new patients
Hurley Health Center LLC Chiropractor CurrentSince May 10, 2024 Accepting new patients
Living Well Chiropractic PLC Chiropractor Past Accepting new patients
Dr Tanya Schrumpf DC Inc PastSince Aug 1, 2011 Accepting new patients
Medical Partners of Florida LLC Past Accepting new patients
Mitchell R Greenberg, DC, Inc Chiropractor Past Accepting new patients
Armstrong Chiropractic Family Center, Inc. PastSince Apr 30, 2003 Accepting new patients
A1 Health & Wellness, LLC PastSince Sep 1, 2023 Accepting new patients
Denny Ragsdale MD Inc Past Accepting new patients

Locations

4087 US Highway 1
Unit 102
Rockledge, FL 32955
Phone (484) 707-2385

760 Barnes Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 328-5825

1096 Concord Pkwy N
Ste 5
Concord, NC 28027
Phone (704) 793-1405

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1003987330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD STE 101-102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555423",
            "telephone_number": "321-735-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD STE 101-102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555423",
            "telephone_number": "321-735-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "6473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.