Justin Elijah Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5308 Issued in MN

Practice address

607W Chandler St
Arlington, MN 55307-2127

Phone

(507) 964-2850

Fax

(507) 964-2333

NPI assigned

Mar 9, 2010

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Specialists, Inc.Group PAC ID 3274517222, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Specialists, Inc.

  • Chiropractor
  • Jordan, MN
  • NPI 1417001702
  Medicare reassignment Care Compare group NPD
• Sonya a. Tourville

  dba Montrose Family Chiropractic

  • Chiropractor
  • Montrose, MN
  • NPI 1851447577
  NPD (past)

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1114240843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BENTON CREEK AVE",
            "city": "COLOGNE",
            "state": "MN",
            "postal_code": "553228010",
            "telephone_number": "952-913-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607W CHANDLER ST",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072127",
            "telephone_number": "507-964-2850",
            "fax_number": "507-964-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUSTIN",
        "middle_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Henry Bergersen, M.D.
• Michael B Boe
• Elizabeth Helen Brack, D.M.D.
• Melanee C Buckentin, N.P.
• City of Arlington (Arlington Ambulance Service)
• Teresa Deeter, D.O.
• Bethany J Diehn, LPN
• Dig Gatekeepers LLC
• Dr. John D. Gustafson, D.D.S., PA
• Forever Smiles, PLLC

• Chiropractor in Arlington, MN
• Providers in Arlington, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.