Davis Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

413 Issued in ND

Legal business name

DAVIS CHIROPRACTIC

Practice address

772 Front Street
Box 518
Casselton, ND 58012-0518

Phone

(701) 347-4006

Fax

(701) 347-4247

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith G Davis, DCNPI 1699875419

Title

Owner

Phone

(701) 347-4006

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith G Davis, DC

  • Chiropractor
  • Casselton, ND
  • NPI 1699875419
  NPD (past) Authorized official

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1306253786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 FRONT ST",
            "address_2": "PO BOX 518",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123302",
            "telephone_number": "701-347-4006",
            "fax_number": "701-347-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 FRONT STREET",
            "address_2": "BOX 518",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580120518",
            "telephone_number": "701-347-4006",
            "fax_number": "701-347-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-347-4006",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13919",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Barnard
• Casselton Ambulance Service, Inc
• Casselton Drug Inc. (Casselton Health Mart Drug)
• Complete Motion Therapy LLC
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Casselton)
• Keith G Davis, DC
• Lois Dietzler
• Bruce L Domm, MD
• Jill C Erickson
• Phillip Faught, ATC

• Clinic/Center in Casselton, ND
• Providers in Casselton, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.