Roger F Davis Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007552 Issued in FL

Practice address

155 E Interlake Blvd
Lake Placid, FL 33852-9578

Phone

(863) 699-0111

Fax

(863) 699-1046

NPI assigned

Feb 14, 2006

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rod Davis Chiropractic P a

  • Chiropractor
  • Lake Placid, FL
  • NPI 1477721918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1326012808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529578",
            "telephone_number": "863-699-0111",
            "fax_number": "863-699-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338529578",
            "telephone_number": "863-699-0111",
            "fax_number": "863-699-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROGER",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280013600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Health Services, Inc
• Wilfredo Corredera, M.D.
• Linda S Cruse, D.P.T.
• Laurie Leigh Cyril, ARNP
• Roy Arceo Damolo
• Stephanie Delbert, APRN
• Delta Health Group Inc (Lake Placid Health Care Center)
• Vail Lee Dewan, MD
• Nikki Y Dickerson, PHARM.D
• Mary Dickson

• Chiropractor in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.