Theodore Davidson III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH030176 Issued in DC

Practice address

1140 Connecticut Ave NW
Ste 500
Washington, DC 20036-4001

Phone

(202) 828-8303

Fax

(202) 828-8305

NPI assigned

Mar 22, 2017

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 TX

Enrollment records 1

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 and National Provider Directory roles.

• 100 Chiro Ten SQ Kingwood LLC

  • Chiropractor
  • Kingwood, TX
  • NPI 1659064855
  NPD
• 100 Percent Chiropractic Livingood TX PLLC

  • Chiropractor
  • Kingwood, TX
  • NPI 1205431236
  NPD

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1114458171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CONNECTICUT AVE NW",
            "address_2": "STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364001",
            "telephone_number": "202-828-8303",
            "fax_number": "202-828-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CONNECTICUT AVE NW",
            "address_2": "STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364001",
            "telephone_number": "202-828-8303",
            "fax_number": "202-828-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH030176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra Davidson
• Marion Davidson
• Maxwell Davidson
• Patricia Davidson, MD
• Roderika Nadine Davidson
• Wanda L Davidson, DDS
• Rhoda Davies-Amith
• Alice Kusi Davies
• Doris N Davies
• Emily Davies, D.O.

• All providers in Washington, DC
• Chiropractor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.