Davis Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2642 Issued in MN

Legal business name

DAVIS CHIROPRACTIC, P.A.

Practice address

330 Prairie Center Drive
210
Eden Prairie, MN 55344

Phone

(612) 501-1036

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall Evan Davis, D.C.NPI 1740292556

Title

Ceo

Phone

(612) 386-7920

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Evan Davis, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1740292556
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124225354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 WILLIAMS WAY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613254",
            "telephone_number": "612-386-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PRAIRIE CENTER DRIVE",
            "address_2": "210",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "612-501-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-386-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheeraz A. Daudi, M.D.
• Dauntless Health Services PLLC
• James Joseph Daurora Jr., PHD
• Toni Lee Dauwalter, PT
• Brittany Davies
• Charles Braxton Davis, M.D.
• Danea Davis
• Erik Davis, D.D.S.
• Kjerstin Ann Davis
• Lynn Marie Davis, M.D.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.