T. R. Davis D.C. Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

712 Issued in OH

Legal business name

T. R. DAVIS D.C. INC.

Practice address

1805 Park Ave W
Ontario, OH 44906-2229

Phone

(419) 529-6600

Fax

(419) 529-4677

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Roger Davis, DCNPI 1477629319

Title

President

Phone

(419) 529-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy R Davis, DC

  • Chiropractor
  • Mansfield, OH
  • NPI 1477629319
  Medicare reassignment Authorized official
• Teresa L Davis, PCC-S

  • Professional Counselor
  • Ontario, OH
  • NPI 1114229002
  NPD (past)

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1073890034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PARK AVE W",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062229",
            "telephone_number": "419-529-6600",
            "fax_number": "419-529-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PARK AVE W",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062229",
            "telephone_number": "419-529-6600",
            "fax_number": "419-529-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. R. DAVIS D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-529-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Stricklen, RPH
• Debra Strong, LPCC
• Emma Celeste Sturts
• Summit Therapy and Performance Center, Inc.
• Jenny E Swisher, CNP
• Bethany Tackett, LSW
• Rick Tangerman, D.C.
• Timothy James Tausch, M.D.
• Rex Alan Taylor, CDCA
• Amanda Renee Teater, MOT, OTR/L

• Clinic/Center in Ontario, OH
• Providers in Ontario, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.