Individual provider Active NPI

Sylvie Roy Davis, D.C.

  • Chiropractor
  • Bethany, CT
National Provider Identifier
1205968716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000955 Issued in CT
Practice address
113 Litchfield Tpke
Bethany, CT 06524-3540
Phone
(203) 393-3271
Fax
(203) 393-2979
NPI assigned
Mar 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000955 CT Primary

Addresses

Primary practice location

113 Litchfield Tpke
Bethany, CT 06524-3540

Mailing address

113 Litchfield Tpke
Bethany, CT 06524-3540
Phone (203) 393-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000955CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205968716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LITCHFIELD TPKE",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243540",
            "telephone_number": "203-393-3271",
            "fax_number": "203-393-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LITCHFIELD TPKE",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243540",
            "telephone_number": "203-393-3271",
            "fax_number": "203-393-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY DAVIS",
        "first_name": "SYLVIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.