Active NPI
Kenneth Xavier Davila-Emeric Jr., DC
- Chiropractor
- Wichita Falls, TX
National Provider Identifier
1265054217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14228
- Practice address
- 1607 Brook Ave
Wichita Falls, TX 76301-5619 - Phone
- (940) 692-1522
- NPI assigned
- May 13, 2020
- Last updated
- May 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14228 | TX | Primary |
Addresses
Primary practice location
1607 Brook Ave
Wichita Falls, TX 76301-5619
Mailing address
1607 Brook Ave
Wichita Falls, TX 76301-5619
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14228 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1265054217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015619",
"telephone_number": "940-692-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA-EMERIC",
"first_name": "KENNETH",
"middle_name": "XAVIER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.