NPIMap

Organization Active NPI

Davidson Health Assoc PA

  • Chiropractor
  • Davidson, NC
National Provider Identifier
1184728412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2960 Issued in NC
Legal business name
DAVIDSON HEALTH ASSOC PA
Doing business as
Davidson Chiropractic
Practice address
428 S Main St
Ste D
Davidson, NC 28036
Phone
(704) 655-0700
Fax
(704) 655-0701
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jolene C Spina, DCNPI 1487769568
Title
Vice President
Phone
(704) 644-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2960 NC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3004 NC

Addresses

Primary practice location

428 S Main St
Ste D
Davidson, NC 28036

Mailing address

428 S Main St
Ste D
Davidson, NC 28036
Phone (704) 655-0700

Other names 1

  • Davidson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000136 NC Part B Supplier - Clinic/Group Practice 3476720137 Receives reassigned benefits from 2 practitioners
Practice locations: Davidson, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184728412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S MAIN ST",
            "address_2": "STE D",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "704-655-0700",
            "fax_number": "704-655-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MAIN ST",
            "address_2": "STE D",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "704-655-0700",
            "fax_number": "704-655-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON HEALTH ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-644-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2960",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.