Jordyn N Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2117 Issued in NE

Practice address

12411 W Center Rd Ste 105
Omaha, NE 68144-3951

Phone

(402) 505-4414

Fax

(402) 285-4111

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO C-SNP
• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• IA HMO

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.

• Diamond Chiropractic & Acupuncture, LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1003217175
  Medicare reassignment NPD
• Diamond Chiropractic North LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1689345522
  NPD

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1023778107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4144",
            "fax_number": "402-614-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 W CENTER RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443951",
            "telephone_number": "402-505-4414",
            "fax_number": "402-285-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDYN",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javaughn Davis
• Jennifer Marie Davis, MD
• Jill Davis, PMHP
• John Davis I
• Johnnie Davis
• Kahniya Davis
• Kalecia Davis
• Kashee Davis
• Kathleen Elizabeth Davis, M.D.
• Kimberly Diane Davis, LMHP, LADC

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.