Active NPI
Michael Kenny Davis, DC
- Chiropractor
- Harlingen, TX
National Provider Identifier
1124387212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4786
- Practice address
- 712 N Snshn Strip Ste 35
Harlingen, TX 78550-8897 - Phone
- (956) 203-9854
- NPI assigned
- May 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4786 | TX | |
| Chiropractor | 111N00000X | 4786 | TX | Primary |
Addresses
Primary practice location
712 N Snshn Strip Ste 35
Harlingen, TX 78550-8897
Mailing address
712 N Snshn Strip Ste 35
Harlingen, TX 78550-8897
Phone (956) 203-9854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB153795 | Other | TX | INDIVIDUAL PTAN |
| 1124387212 | Other | TX | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120626000280 | TX | Practitioner - Chiropractic | 1951566900 | Practice locations: Harlingen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
712 N 77 Sunshine Strip
Suite 35
Harlingen, TX 78550-8897
Phone (956) 203-9854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13997 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1124387212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 N SNSHN STRIP STE 35",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508897",
"telephone_number": "956-203-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N SNSHN STRIP STE 35",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508897",
"telephone_number": "956-203-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHAEL",
"middle_name": "KENNY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "TX",
"license": "4786",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "TXB153795",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124387212",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.