Active NPI
Michael Wayne Davis, DC.
- Chiropractor
- Clovis, CA
National Provider Identifier
1285841429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14584
- Practice address
- 714 Pollasky Ave.
Suite 101
Clovis, CA 93612 - Phone
- (559) 325-5700
- Fax
- (559) 325-5755
- NPI assigned
- May 17, 2007
- 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 | 14584 | CA | Primary |
Addresses
Primary practice location
714 Pollasky Ave.
Suite 101
Clovis, CA 93612
Mailing address
714 Pollasky Ave
Suite 101
Clovis, CA 93612-1840
Phone (559) 325-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080402000937 | CA | Practitioner - Chiropractic | 6507943446 | Practice locations: Clovis, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
55 Shaw Ave
Suite 122
Clovis, CA 93612-3819
Phone (559) 325-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14584 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1285841429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 POLLASKY AVE",
"address_2": "SUITE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121840",
"telephone_number": "559-325-5700",
"fax_number": "559-325-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 POLLASKY AVE.",
"address_2": "SUITE 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93612",
"telephone_number": "559-325-5700",
"fax_number": "559-325-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.