Active NPI
William Kevin Davis, DC
- Chiropractor
- Campbell, CA
National Provider Identifier
1144398389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 26040 DC
- Practice address
- 3195 S Bascom Ave
Campbell, CA 95008 - Phone
- (408) 559-1662
- Fax
- (408) 559-0946
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 26040 DC | CA | Primary |
Addresses
Primary practice location
3195 S Bascom Ave
Campbell, CA 95008
Mailing address
3195 S Bascom Ave
Campbell, CA 95008
Phone (408) 559-1662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 N 36TH St
Boise, ID 83703-5200
Phone (208) 331-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26040 DC | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mick L. Tiegs, Inc., PS | Chiropractor | Current | Accepting new patients |
| Ken Savage Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Tim Gudilin Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
2301 N 36th St
Boise, ID 83703
Phone (208) 331-3100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northside Chiropractic
- Health Service Clinic/Center
- Boise, ID
- NPI 1689709735
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144398389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 S BASCOM AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "408-559-1662",
"fax_number": "408-559-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 S BASCOM AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "95008",
"telephone_number": "408-559-1662",
"fax_number": "408-559-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILLIAM",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "26040 DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.