DCC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007275 Issued in MI

Legal business name

DCC PC

Practice address

432 N Cochran Ave
Charlotte, MI 48813-1126

Phone

(517) 543-2920

Fax

(517) 543-1221

NPI assigned

Feb 16, 2007

Last updated

Jun 21, 2018By 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. Kevin Thomas Davis, D.C.NPI 1871598680

Title

Owner

Phone

(517) 543-2920

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Kevin Thomas Davis, D.C.

  • Chiropractor
  • Charlotte, MI
  • NPI 1871598680
  Medicare reassignment NPD Authorized official
• Marcie Ann Brummette, LMT

  • Massage Therapist
  • Charlotte, MI
  • NPI 1336012830
  NPD
• Meghan Marie Snider, LMT

  • Massage Therapist
  • Charlotte, MI
  • NPI 1255998332
  NPD (past)
• Tracey J Woycik, PT

  • Physical Therapist
  • Lapeer, MI
  • NPI 1508087594
  NPD (past)
• Maegan S Davis, DC

  • Chiropractor
  • Hardeeville, SC
  • NPI 1033141197
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1215071188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131126",
            "telephone_number": "517-543-2920",
            "fax_number": "517-543-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131126",
            "telephone_number": "517-543-2920",
            "fax_number": "517-543-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-543-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000008883",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1024457",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950B311390",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "950B311390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5198793",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG8562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Curtis, DDS
• Frederick Peter Darin, OD
• James E. Dartt, M.D.
• Kevin Thomas Davis, D.C.
• Zoe Ann Davis, MSW
• Kory V. Deason, M.D.
• Debra S Somervill LMSW LLC
• Sydney Dershem
• Lynn Deweese
• Adam M Dewitt, DC

• Chiropractor in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.