Theodore W Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR-6677 Issued in CO

Practice address

2505 Kachina Dr
Pueblo, CO 81008-1573

Phone

(719) 544-2009

Fax

(719) 253-7734

NPI assigned

May 2, 2011

Last updated

Feb 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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 CO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Alternative Medicine PLLCGroup PAC ID 2466692124, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• CO HMO C-SNP

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.

• Center for Alternative Medicine, PLLC

  • Chiropractor
  • Pueblo, CO
  • NPI 1831438605
  Medicare reassignment Care Compare group NPD Authorized official
• Pikes Peak Spine & Joint LLC

  • Interventional Pain Medicine Physician
  • Colorado Springs, CO
  • NPI 1346800737
  NPD (past)

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1033400510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 KACHINA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081573",
            "telephone_number": "719-544-2009",
            "fax_number": "719-253-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 KACHINA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081573",
            "telephone_number": "719-544-2009",
            "fax_number": "719-253-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THEODORE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Davis
• Malinda Lee Davis, RN
• Mark Davis, PA-C
• Roger W Davis, MD
• Scott D. Davis
• Kenneth Michael Davison, MSW
• Muath Dawod, M.D.
• Dana Dawson, LPN
• Erica Sue Dawson, PTA
• Robert David Dawson Jr., PA-C

• Chiropractor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.