Richard Elton Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14107 Issued in TX

Practice address

109 N Reagan St
West, TX 76691-1446

Phone

(254) 826-3737

Fax

(254) 826-3769

NPI assigned

Jun 24, 2020

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard E Davis, DC, PLLC

  dba Mellgren Chiropractic Clinic At West

  • Chiropractor
  • West, TX
  • NPI 1972236057
  Medicare reassignment NPD Authorized official
• Dr Walter J Mellgren Jr DC PA

  dba Mellgren Chiropractic Clinic

  • Chiropractor
  • West, TX
  • NPI 1154467934
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1215553318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766910338",
            "telephone_number": "254-826-3737",
            "fax_number": "254-826-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N REAGAN ST",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911446",
            "telephone_number": "254-826-3737",
            "fax_number": "254-826-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "ELTON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of West
• Jessica Rose Clifton, PTA
• Janet Marie Combs
• Comma Counseling PLLC
• Jill Anne Davis
• Ann Marie Dennis, M. ED, LPC
• Dr Walter J Mellgren Jr DC PA (Mellgren Chiropractic Clinic)
• Generation RX Inc. (West Drug)
• Generation RX Inc. (West Drug)
• Tina Denise Green, LCSW

• Chiropractor in West, TX
• Providers in West, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.