Judith A Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3415 Issued in WI

Practice address

1280 W. Main St. Ste 121
Sun Prairie, WI 53590

Phone

(608) 241-2004

Fax

(608) 318-0859

NPI assigned

Jul 26, 2006

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Accent Chiropractic Clinic SC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1346397726
  Authorized official Same address or phone

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1023031275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W MAIN ST. STE 121",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-241-2004",
            "fax_number": "608-318-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W. MAIN ST. STE 121",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-241-2004",
            "fax_number": "608-318-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38902800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey L Curie, APSW
• Kyle Peter D'Alberto, PA-C
• Ebrima LS Darboe
• Brandon Dautermann
• Elizabeth Rose Davies
• Raymond Davis
• Dean Health Systems, Inc. (SSM Health Surgery Center)
• Dean Health Systems, Inc. (SSM Health Dean Medical Group - Sun Prairie)
• Dean Retail Services, Inc. (SSM Health Davis Duehr Dean Eye Care)
• Dean Retail Services, Inc. (SSM Health Prescription Center)

• Chiropractor in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.