Jon Davis Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4337 Issued in MN

Legal business name

JON DAVIS CHIROPRACTIC PA

Doing business as

Family First Chiropractic

Practice address

79 10TH Ave S
Waite Park, MN 56387-1040

Phone

(320) 259-9099

Fax

(320) 529-9199

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jon Michael Davis, D.C.

Title

President

Phone

(320) 259-9099

Specialties & licenses 1

Addresses

Other names 1

• Family First Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1245507375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871040",
            "telephone_number": "320-259-9099",
            "fax_number": "320-529-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871040",
            "telephone_number": "320-259-9099",
            "fax_number": "320-529-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON DAVIS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-259-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryon D Johnson
• Darbie Johnson
• Emily F Johnson
• Lexi Louise Alm Johnson, M.S. LMFT
• Savannah J Johnson, OD
• Kristen Jones
• Wendi Raylene Wingate Jones, OTR/L MA
• Caitlyn Jungels, LAT, DC
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• Christina Kalscheuer

• Chiropractor in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.