Organization Active NPI

Michael Davis DC LLC

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1104022813
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7396 Issued in AZ
Legal business name
MICHAEL DAVIS DC LLC
Practice address
1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298
Phone
(623) 535-8661
Fax
(623) 535-8662
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Michael Davis, DCNPI 1245267996
Title
Owner
Phone
(623) 535-8661

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 7396 AZ Primary

Addresses

Primary practice location

1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298

Mailing address

1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298
Phone (623) 535-8661

Other names 1

  • Chiropractic Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000039 AZ Part B Supplier - Clinic/Group Practice 0840376604 Receives reassigned benefits from 2 practitioners
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

1616 N Litchfield Rd
Ste 250
Goodyear, AZ 85395
Phone (623) 535-8661

1646 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 535-8661

Practitioners & affiliated clinicians

Practitioners 3

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1104022813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N LITCHFIELD RD STE 250",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951298",
            "telephone_number": "623-535-8661",
            "fax_number": "623-535-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N LITCHFIELD RD STE 250",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951298",
            "telephone_number": "623-535-8661",
            "fax_number": "623-535-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DAVIS DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-535-8661",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.