Active NPI
Paul C Davis, D.C.
- Chiropractor
- Mooresville, NC
National Provider Identifier
1083796247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3113
- Practice address
- 552 Williamson Rd
Mooresville, NC 28117-9227 - Phone
- (704) 664-6932
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3113 | NC | Primary |
Addresses
Primary practice location
552 Williamson Rd
Mooresville, NC 28117-9227
Mailing address
16023 Wynfield Creek Pkwy
Huntersville, NC 28078-5628
Phone (704) 953-0081
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3113 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luke a Bennett LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- Charlotte, NC
- NPI 1720373186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1083796247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16023 WYNFIELD CREEK PKWY",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785628",
"telephone_number": "704-953-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 WILLIAMSON RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179227",
"telephone_number": "704-664-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.