Active NPI
Kara Suzanne Davidson, D.C.
- Chiropractor
- Waynesfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4028
- Practice address
- 529 N Westminster St
Suite B
Waynesfield, OH 45896-9449 - Phone
- (419) 568-2225
- Fax
- (419) 568-2020
- NPI assigned
- Nov 11, 2008
- Last updated
- Aug 4, 2010
- Sex
- Female
- 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 | 038.011139 | IL | |
| Chiropractor | 111N00000X | 4028 | OH | Primary |
Addresses
Primary practice location
529 N Westminster St
Suite B
Waynesfield, OH 45896-9449
Mailing address
529 N Westminster St
Waynesfield, OH 45896-9449
Phone (419) 568-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1233 W Market St
Lima, OH 45805-2728
Phone (419) 229-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4028 | OH | MD | Counseling Psychologist |
| 038.011139 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilcox Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Grundy Family Chiropractic SC | Chiropractor | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1233 W Market St
Lima, OH 45805
Phone (419) 227-8435
529 N Westminster St
Waynesfield, OH 45896
Phone (419) 227-3978
529 N Westminster St
Ste B
Waynesfield, OH 45896
Phone (419) 568-2225
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Waynesfield, OH
- NPI 1629384771
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Chiropractor
- Palatine, IL
- NPI 1043422033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1063666519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 N WESTMINSTER ST",
"city": "WAYNESFIELD",
"state": "OH",
"postal_code": "458969449",
"telephone_number": "419-568-2225",
"fax_number": "419-568-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 N WESTMINSTER ST",
"address_2": "SUITE B",
"city": "WAYNESFIELD",
"state": "OH",
"postal_code": "458969449",
"telephone_number": "419-568-2225",
"fax_number": "419-568-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KARA",
"middle_name": "SUZANNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011139",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.