Heather C Davis DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014016555 Issued in MO

Legal business name

HEATHER C DAVIS DC LLC

Practice address

548 Seawind Dr Apt D
Ballwin, MO 63021-4843

Phone

(620) 200-4872

Fax

(314) 821-9889

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Heather Catherine Davis

Title

Owner

Phone

(620) 200-4872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1205242567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 SEAWIND DR APT D",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214843",
            "telephone_number": "620-200-4872",
            "fax_number": "314-821-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 SEAWIND DR APT D",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214843",
            "telephone_number": "620-200-4872",
            "fax_number": "314-821-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER C DAVIS DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-200-4872"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014016555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.