Individual provider Active NPI

Suzanne Davis, D.C.

  • Chiropractor
  • State College, PA
National Provider Identifier
1295893212
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009250 Issued in PA
Practice address
2134 Sandy Dr
Suite 9
State College, PA 16803-2292
Phone
(814) 234-8900
Fax
(814) 234-8909
NPI assigned
Dec 4, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009250 PA Primary

Addresses

Primary practice location

2134 Sandy Dr
Suite 9
State College, PA 16803-2292

Mailing address

213 Ghaner Dr
State College, PA 16803-1172
Phone (814) 234-8900

Other names 1

  • Suzanne Davis Evans Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000530 PA Practitioner - Chiropractic 8729066196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2134 Sandy Dr
Suite 9
State College, PA 16803-1172
Phone (814) 234-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009250PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic LLC Chiropractor CurrentSince Jun 8, 2005 Accepting new patients
Deborah a. Mager, DC PC Past Accepting new patients
Dr. Deborah Mager Chiropractor Past Accepting new patients

Locations

6176 Shavers Creek Rd
Petersburg, PA 16669
Phone (814) 441-4484

2134 Sandy Dr
Ste 6
State College, PA 16803
Phone (814) 234-8900

2134 Sandy Dr
Ste 9
State College, PA 16803
Phone (814) 234-8900

Interoperability endpoints

  • Direct secure messaging: dcl0009@dcl0009.direct.chirotouch.md

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1295893212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GHANER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031172",
            "telephone_number": "814-234-8900",
            "fax_number": "814-234-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 SANDY DR",
            "address_2": "SUITE 9",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032292",
            "telephone_number": "814-234-8900",
            "fax_number": "814-234-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "EVANS",
            "middle_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.