Individual provider Active NPI

Michael A. Davis, DC

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1245267996
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7396 Issued in AZ
Practice address
1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298
Phone
(623) 535-8661
Fax
(623) 535-8662
NPI assigned
Jun 27, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7396 AZ Primary

Addresses

Primary practice location

1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298

Mailing address

1616 N Litchfield Rd Ste 250
Goodyear, AZ 85395-1298
Phone (623) 535-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001695 AZ Practitioner - Chiropractic 0648266395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1616 N Litchfield Rd
Suite 250
Goodyear, AZ 85395-1298
Phone (623) 535-8661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7396AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Davis DC LLC Chiropractor CurrentSince Feb 1, 2007 Accepting new patients
Naturally Chiropractic, LLC Chiropractor Past Accepting new patients
Advanced Physical Medicine & Therapy, LTD. Chiropractor PastSince Feb 1, 2005 Accepting new patients
Advanced Physical Medicine & Therapy, LTD. PastSince Feb 14, 2021 Accepting new patients

Locations

1616 N Litchfield Rd
Ste 250
Goodyear, AZ 85395
Phone (623) 535-8661

1646 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 535-8661

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1245267996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N LITCHFIELD RD STE 250",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951298",
            "telephone_number": "623-535-8661",
            "fax_number": "623-535-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N LITCHFIELD RD STE 250",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951298",
            "telephone_number": "623-535-8661",
            "fax_number": "623-535-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.