J Michael Davis DC a Professional Chiropractic Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC12649 Issued in CA

Legal business name

J MICHAEL DAVIS DC A PROFESSIONAL CHIROPRACTIC CORP

Practice address

902 W Grand Ave
Grover Beach, CA 93433-2136

Phone

(805) 489-2200

Fax

(805) 489-1144

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Chief Executive Officer

Phone

(805) 489-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeff Paul Miller, PT

  • Physical Therapist
  • Grover Beach, CA
  • NPI 1841412095
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1134436678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332136",
            "telephone_number": "805-489-2200",
            "fax_number": "805-489-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332136",
            "telephone_number": "805-489-2200",
            "fax_number": "805-489-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHAEL DAVIS DC A PROFESSIONAL CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-489-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Huppert
• Carla S Hurt, PA-C
• Sonia Iliff
• Michael Illiff
• Inter-Community Hospice, Inc.
• Lucy Jacob, OTR/L, CHT, HTC
• Stephanie Jennings
• Valeree Jensen, PHARMD
• Camila Paz Jeria Saez, RPE LICENSE SLP
• Jerry Ack Yu Yu Dental Corporation

• Clinic/Center in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.