Organization Active NPI

Davis Clinic of Chiropractic, Inc

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1174554265
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8681 Issued in FL
Legal business name
DAVIS CLINIC OF CHIROPRACTIC, INC
Practice address
1585 Santa Barbara Blvd
Suite a
Lady Lake, FL 32159-6820
Phone
(352) 430-2121
Fax
(352) 430-2114
NPI assigned
Jul 6, 2006
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Jason Eric Davis, D.C.
Title
Chiropractic Physician
Phone
(352) 430-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8681 FL Primary

Addresses

Primary practice location

1585 Santa Barbara Blvd
Suite a
Lady Lake, FL 32159-6820

Mailing address

1585 Santa Barbara Blvd
Suite a
Lady Lake, FL 32159-6820
Phone (352) 430-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1174554265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "SUITE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD",
            "address_2": "SUITE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CLINIC OF CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "352-430-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.