Organization Active NPI

Davis Chiropractic, P.C.

  • Chiropractor
  • Port Townsend, WA
National Provider Identifier
1114151156
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034579 Issued in WA
Legal business name
DAVIS CHIROPRACTIC, P.C.
Practice address
1233 W Sims Way
Port Townsend, WA 98368-3057
Phone
(360) 385-0280
Fax
(360) 385-5452
NPI assigned
May 5, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Christopher Davis, D.C.
Title
President
Phone
(360) 385-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034579 WA Primary

Addresses

Primary practice location

1233 W Sims Way
Port Townsend, WA 98368-3057

Mailing address

PO Box 1850
Port Townsend, WA 98368-0056
Phone (360) 385-0280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000638 WA Part B Supplier - Clinic/Group Practice 2961554829 Receives reassigned benefits from 1 practitioner
Practice locations: Port Townsend, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1114151156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1850",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680056",
            "telephone_number": "360-385-0280",
            "fax_number": "360-385-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983683057",
            "telephone_number": "360-385-0280",
            "fax_number": "360-385-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-385-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.