Active NPI
O Troy Davis, D.C.
- Chiropractor
- St George, UT
National Provider Identifier
1053453191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8328842-1202
- Practice address
- 1397 W Sunset Blvd Ste 109
St George, UT 84770-4212 - Phone
- (435) 862-0125
- Fax
- (435) 215-7680
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4683 | KY | |
| Chiropractor | 111N00000X | 8328842-1202 | UT | Primary |
Addresses
Primary practice location
1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Mailing address
1397 W Sunset Blvd Ste 109
Saint George, UT 84770-4212
Phone (435) 862-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 N Mall Dr
Unit H102
St George, UT 84790-7341
Phone (435) 862-0125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8328842-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Orbie Troy Davis | Chiropractor | Past | Accepting new patients |
| Occupational Kinetics | Chiropractor | Past | Accepting new patients |
Locations
321 N Mall Dr
Unit H102
St George, UT 84790
Phone (435) 862-0125
1397 W Sunset Blvd
Ste 109
St George, UT 84770
Phone (435) 275-8888
Organizations & group practices 3
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.
-
- Chiropractor
- Louisville, KY
- NPI 1881622934
-
- Chiropractor
- Louisville, KY
- NPI 1962697763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1053453191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 W SUNSET BLVD STE 109",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847704212",
"telephone_number": "435-862-0125",
"fax_number": "435-215-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 W SUNSET BLVD STE 109",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704212",
"telephone_number": "435-862-0125",
"fax_number": "435-215-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "O",
"middle_name": "TROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4683",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "8328842-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.