Organization Active NPI

Douglas F Davis Chiropractic Corp

  • Chiropractor
  • Burbank, CA
National Provider Identifier
1104260330
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25558 Issued in CA
Legal business name
DOUGLAS F DAVIS CHIROPRACTIC CORP
Practice address
2620 W Burbank Blvd
Burbank, CA 91505-2303
Phone
(818) 841-2840
Fax
(818) 841-2842
NPI assigned
Apr 18, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Douglas F Davis, D.C.NPI 1245312891
Title
Business Owner and President
Phone
(818) 841-2840

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 DC25558 CA Primary

Addresses

Primary practice location

2620 W Burbank Blvd
Burbank, CA 91505-2303

Mailing address

2620 W Burbank Blvd
Burbank, CA 91505-2303
Phone (818) 841-2840

Other identifiers 1

IdentifierTypeStateIssuer
1245312891OtherCAUNSURE OF ISSUER BUT SUSPECT IT'S MEDICARE UPIN

Other names 1

  • Dr. Douglas F. Davis, D.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140715000557 CA Part B Supplier - Clinic/Group Practice 7911122510 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

2620 W Burbank Blvd
Burbank, CA 91505
Phone (818) 841-2840

3123 W Burbank Blvd
Burbank, CA 91505
Phone (818) 841-2442

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1104260330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052303",
            "telephone_number": "818-841-2840",
            "fax_number": "818-841-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052303",
            "telephone_number": "818-841-2840",
            "fax_number": "818-841-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS F DAVIS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "818-841-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSURE OF ISSUER BUT SUSPECT IT'S MEDICARE UPIN",
            "identifier": "1245312891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Douglas F. Davis, D.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.