Individual provider Active NPI

Jason Davis, DC

  • Chiropractor
  • Lewiston, ME
National Provider Identifier
1174513832
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1264 Issued in ME
Practice address
16 Highland Spring Rd
Lewiston, ME 04240-3856
Phone
(207) 782-3330
Fax
(207) 786-9222
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1264 ME Primary

Addresses

Primary practice location

16 Highland Spring Rd
Lewiston, ME 04240-3856

Mailing address

16 Highland Spring Rd
Lewiston, ME 04240-3856
Phone (207) 782-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000429 ME Practitioner - Chiropractic 9032009287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Chiropractic PCGroup PAC ID 9931123676, 2 clinicians

Practice addresses (Care Compare)

16 Highland Spring Rd
Lewiston, ME 04240-3856
Phone (207) 782-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1264MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic PC Chiropractor CurrentSince Nov 1, 2005 Accepting new patients
Family Chiropractic Center, PA Chiropractor Past Accepting new patients

Locations

16 Highland Spring Rd
Lewiston, ME 04240
Phone (207) 782-3330

16 Highland Spring Rd
#A
Lewiston, ME 04240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1174513832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HIGHLAND SPRING RD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403856",
            "telephone_number": "207-782-3330",
            "fax_number": "207-786-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HIGHLAND SPRING RD",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403856",
            "telephone_number": "207-782-3330",
            "fax_number": "207-786-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.