Robert Ellerslie Davis III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8895 Issued in FL

Practice address

6700 Winkler Rd Ste 3
Suite 3
Fort Myers, FL 33919-7235

Phone

(239) 482-8686

Fax

(239) 482-8681

NPI assigned

May 16, 2006

Last updated

Feb 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• DFCW LLC

  • Chiropractor
  • Fort Myers, FL
  • NPI 1497179394
  NPD (past) Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1336191790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WINKLER RD STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197235",
            "telephone_number": "239-482-8686",
            "fax_number": "239-482-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WINKLER RD STE 3",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197235",
            "telephone_number": "239-482-8686",
            "fax_number": "239-482-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "ELLERSLIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Lee Davis, DDS
• Phillip G Davis, MD
• Rachel Davis, LCSW-C
• Reginald J Davis, M.D.
• Richard M Davis, MD
• Sean J Davis, P.T.
• Shannan Vera Davis, A.P.R.N.
• Tyler Davis, PHARMD
• Jocelyn Dawal, M.ED., SLP-CCC
• Dawn Bradley Arnp PLLC

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.