Organization Active NPI

Davidson Family Chiropractic LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1073018446
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAVIDSON FAMILY CHIROPRACTIC LLC
Practice address
7951 West 160TH Street
Suite 500
Overland Park, KS 66223
Phone
(731) 414-3241
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Jake Westley DavidsonNPI 1679921902
Title
Owner
Phone
(731) 414-3241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7951 West 160TH Street
Suite 500
Overland Park, KS 66223

Mailing address

7951 West 160TH Street
Suite 500
Overland Park, KS 66223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180518001749 KS Part B Supplier - Clinic/Group Practice 8527323617 Receives reassigned benefits from 1 practitioner
Practice locations: Stilwell, KS

National Provider Directory

National Provider Directory

Locations

7951 W 160th St
Ste 500
Overland Park, KS 66223
Phone (731) 414-3241

7500 W 160th St
Ste 202
Stilwell, KS 66085
Phone (913) 808-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1073018446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 WEST 160TH STREET",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 WEST 160TH STREET",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "731-414-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "WESTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-414-3241"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.