Dr John J Davidson DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01967

Legal business name

DR JOHN J DAVIDSON DC PA

Doing business as

Ultimate Health Chiropractic Physiotherapy & Sports Rehab

Practice address

2103 Laurel Bush Rd
Suite C
Bel Air, MD 21015

Phone

(510) 399-2225

Fax

(410) 569-4454

NPI assigned

Mar 14, 2006

Last updated

Aug 22, 2020By 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

Mr. John J Davidson Jr., DC

Title

Owner Chiropractor

Phone

(410) 569-5969

Specialties & licenses 1

Addresses

Other names 1

• Ultimate Health Chiropractic Physiotherapy & Sports Rehab Doing business as

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306815246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 LAUREL BUSH RD",
            "address_2": "SUITE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "510-399-2225",
            "fax_number": "410-569-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 LAUREL BUSH RD",
            "address_2": "SUITE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21015",
            "telephone_number": "510-399-2225",
            "fax_number": "410-569-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN J DAVIDSON DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "410-569-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "01967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Health Chiropractic Physiotherapy & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bel Air, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.