NPIMap

Organization Active NPI

Heather C Davis DC LLC

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1205242567
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Heather Catherine DavisNPI 1659785525
Title
Owner
Phone
(620) 200-4872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2014016555 MO Primary

Addresses

Primary practice location

548 Seawind Dr Apt D
Ballwin, MO 63021-4843

Mailing address

548 Seawind Dr Apt D
Ballwin, MO 63021-4843
Phone (620) 200-4872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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": []
}

Other providers in Ballwin, MO

Sources for this page

  • 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.