Davidson Chiropractic Clinic - Evanston LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC

Practice address

195 Feather Way Ste a
Evanston, WY 82930-9352

Phone

(307) 382-0600

Fax

(307) 382-0601

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Aaron Davidson, DC

Title

Doctor/Owner

Phone

(307) 382-0600

Specialties & licenses 1

Addresses

Other names 1

• Davidson Chiropractic Clinic Former legal business name

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1023502408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY STE A",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309352",
            "telephone_number": "307-382-0600",
            "fax_number": "307-382-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY STE A",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309352",
            "telephone_number": "307-382-0600",
            "fax_number": "307-382-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "307-382-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• County of Uinta
• Marjorie M Coyle
• Shad Fredrick Crapo, PA-C
• D McKay Francom DDS
• David R Russell OD (Accurate Eye Care)
• Carol Diane Davis, OTR/L
• Kenneth Casey Davis, D.C.
• Denise Debarre, PHD
• Justin T Dennis, P.T.
• Katherine Dent

• Chiropractor in Evanston, WY
• Providers in Evanston, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.