Davies Southport Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3921 Issued in NC

Legal business name

DAVIES SOUTHPORT CHIROPRACTIC PLLC

Doing business as

Southport Chiropractic

Practice address

1456 N Howe St
Ste. 103
Southport, NC 28461-2754

Phone

(910) 454-0909

Fax

(910) 454-0911

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Jason Davies, D.C.NPI 1659501682

Title

Owner

Phone

(910) 454-0909

Specialties & licenses 1

Addresses

Other names 1

• Southport Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Jason Davies, D.C.

  • Chiropractor
  • Southport, NC
  • NPI 1659501682
  Medicare reassignment Authorized official
• Paul Duane White, D.C.

  • Chiropractor
  • Sylva, NC
  • NPI 1821009689
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1194958140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 N HOWE ST",
            "address_2": "STE. 103",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612754",
            "telephone_number": "910-454-0909",
            "fax_number": "910-454-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 N HOWE ST",
            "address_2": "STE. 103",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612754",
            "telephone_number": "910-454-0909",
            "fax_number": "910-454-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIES SOUTHPORT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-454-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southport Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Winstead Cook, COTA/L
• Kyle Patrick Cunningham, DPT
• Michael J Curtin, M.D.
• Cypress Chiropractic, PA
• Lisa D'Oria, PT
• David Jason Davies, D.C.
• Ronald J De Santo, CPED
• Susan Jane Dean, MD
• Pamela R Dehne, PT
• Seth M Deletetsky, DC

• Chiropractor in Southport, NC
• Providers in Southport, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.