Organization Active NPI

Davis Chiropractic Inc

  • Chiropractor
  • Arroyo Grande, CA
National Provider Identifier
1124136528
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12649 Issued in CA
Legal business name
DAVIS CHIROPRACTIC INC
Doing business as
The Chiropractic Center
Practice address
880 Oak Park Blvd
Suite 201
Arroyo Grande, CA 93420-1821
Phone
(805) 489-1477
Fax
(805) 489-2356
NPI assigned
Aug 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Dr. James Michael Davis, DC
Title
President
Phone
(805) 489-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC12649 CA Primary

Addresses

Primary practice location

880 Oak Park Blvd
Suite 201
Arroyo Grande, CA 93420-1821

Mailing address

880 Oak Park Blvd
Suite 201
Arroyo Grande, CA 93420-1821
Phone (805) 489-1477

Other identifiers 4

IdentifierTypeStateIssuer
SAT 2025OtherCABOARD OF CHIROPRACTIC EXAMINERS- SATELLITE OFFICE CERTIFICATE
56026OtherCACITY OF ARROYO GRANDE BUSINESS LICENSE
C0977031OtherCASECRETARY OF STATE-CA CORPORATION NUMBER
363OtherCABOARD OF CHIROPRACTIC EXAMINERS- CORPORATION CERTIFICATE NUMBER

Other names 1

  • The Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

880 Oak Park Blvd
Ste 201
Arroyo Grande, CA 93420
Phone (805) 473-8346

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1124136528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 201",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-489-1477",
            "fax_number": "805-489-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 201",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-489-1477",
            "fax_number": "805-489-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-489-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTIC EXAMINERS- SATELLITE OFFICE CERTIFICATE",
            "identifier": "SAT 2025",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF ARROYO GRANDE BUSINESS LICENSE",
            "identifier": "56026",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE-CA CORPORATION NUMBER",
            "identifier": "C0977031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTIC EXAMINERS- CORPORATION CERTIFICATE NUMBER",
            "identifier": "363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.