Active NPI
Doni Beth Davis, D.C.
- Chiropractor
- Kenosha, WI
National Provider Identifier
1306081658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4455
- Practice address
- 3720 - 72ND Avenue
Kenosha, WI 53144 - Phone
- (262) 764-9301
- Fax
- (262) 764-9303
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4455-012 | WI | |
| Chiropractor | 111N00000X | 4455 | WI | Primary |
Addresses
Primary practice location
3720 - 72ND Avenue
Kenosha, WI 53144
Mailing address
3720 72ND Avenue
Kenosha, WI 53144
Phone (262) 764-9301
Other names 1
- Doni Beth Daniels
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1711 Green Bay Rd
Suite C
Kenosha, WI 53144-1250
Phone (262) 764-9301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4455-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sozo Chiropractic | Current | Accepting new patients | |
| Daniels Chiropractic Office Inc | Past | Accepting new patients | |
| Chiropractic Company - Mke Downtown LTD | Chiropractor | Past | Accepting new patients |
Locations
1711 Green Bay Rd
Ste C
Kenosha, WI 53144
Phone (262) 764-9301
3720 72nd Ave
Kenosha, WI 53144
Phone (262) 764-9301
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 and National Provider Directory roles.
-
- Clinic/Center
- Kenosha, WI
- NPI 1144638065
-
dba Chiropractic Company - Milwaukee Downtown LTD
- Chiropractor
- Milwaukee, WI
- NPI 1750323242
-
- Clinic/Center
- Racine, WI
- NPI 1376715722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1306081658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 72ND AVENUE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53144",
"telephone_number": "262-764-9301",
"fax_number": "262-764-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 - 72ND AVENUE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53144",
"telephone_number": "262-764-9301",
"fax_number": "262-764-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DONI",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4455-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONI",
"last_name": "DANIELS",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.