Justin Daniel Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011017579 Issued in MO

Practice address

819 W 5TH St
Washington, MO 63090-1923

Phone

(636) 239-4454

NPI assigned

Jun 21, 2011

Sex

Male

Sole proprietor

No

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Davis Chiropractic Center LLC

  • Clinic/Center
  • Washington, MO
  • NPI 1619263480
  Medicare reassignment Authorized official
• Rogers Chiropractic, Inc

  • Chiropractor
  • Kansas City, MO
  • NPI 1912058470
  NPD

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1134415995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630901923",
            "telephone_number": "636-239-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630901923",
            "telephone_number": "636-239-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011017579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Curran, DPT
• Claire Darling
• Jacqueline K Daugherty, RN
• Matthew Lee Davidson, D.C.
• Davis Chiropractic Center LLC
• Davis, Wright, Berdy & Suffian PC
• Dawn Cahill
• Daydreams Day Spa
• Ann Jean Debartolo, DO
• Scott Michael Dembiec, MD

• Chiropractor in Washington, MO
• Providers in Washington, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.