Individual provider Active NPI

Daniel B Davenport, D.C.

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1073625869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6141291-1202 Issued in UT
Practice address
942 E. Chambers St.
Suite 11
South Ogden, UT 84403
Phone
(801) 475-7625
Fax
(801) 476-7074
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6141291-1202 UT Primary

Addresses

Primary practice location

942 E. Chambers St.
Suite 11
South Ogden, UT 84403

Mailing address

942 E. Chambers St.
Suite 11
South Ogden, UT 84403
Phone (801) 475-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6141291-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Clinic LLC Chiropractor CurrentSince May 25, 2007 Accepting new patients
Pain & Injury Clinic of Utah Chiropractor Current Accepting new patients

Locations

942 Chambers St
Ste 11
South Ogden, UT 84403
Phone (801) 475-0360

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073625869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 E. CHAMBERS ST.",
            "address_2": "SUITE 11",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-475-7625",
            "fax_number": "801-476-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 E. CHAMBERS ST.",
            "address_2": "SUITE 11",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-475-7625",
            "fax_number": "801-476-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6141291-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.