Individual provider Active NPI

Lori Davies, D.C.

  • Chiropractor
  • Elmira, NY
National Provider Identifier
1104217710
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012516-1 Issued in NY
Practice address
200 E 14TH St
Ste a
Elmira, NY 14903-1339
Phone
(607) 735-2125
Fax
(607) 735-2126
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 962 NH
Chiropractor 111N00000X X012516-1 NY Primary

Addresses

Primary practice location

200 E 14TH St
Ste a
Elmira, NY 14903-1339

Mailing address

200 E 14TH St
Ste a
Elmira, NY 14903-1339
Phone (607) 735-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825003189 NY Practitioner - Chiropractic 2466768296 Practice locations: Elmira, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 E 14TH St
Suite a
Elmira, NY 14903-1339
Phone (607) 735-2125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
962NHMDChiropractor
X012516-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Chiropractic PLLC Chiropractor PastSince Jul 16, 2023 Accepting new patients
Storms Family Chiropractic Chiropractor PastSince Jul 28, 2015 Accepting new patients

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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1104217710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 14TH ST",
            "address_2": "STE A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031339",
            "telephone_number": "607-735-2125",
            "fax_number": "607-735-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 14TH ST",
            "address_2": "STE A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031339",
            "telephone_number": "607-735-2125",
            "fax_number": "607-735-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "LORI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "962",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012516-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.