Individual provider Active NPI

Anthony Jacob Davis, D.C.

  • Chiropractor
  • Ames, IA
National Provider Identifier
1336194885
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06450 Issued in IA
Practice address
4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227
Phone
(515) 292-4988
Fax
(515) 292-4980
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06450 IA Primary

Addresses

Primary practice location

4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227

Mailing address

4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227
Phone (515) 292-4988

Other identifiers 2

IdentifierTypeStateIssuer
45194OtherIAWELLMARK BC/BS OF IOWA
0265934MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000140 IA Practitioner - Chiropractic 4284627639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4611 Mortensen Rd
Suite 103
Ames, IA 50014-6228
Phone (515) 292-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06450IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Services, Inc Chiropractor CurrentSince Jan 28, 2002 Accepting new patients

Locations

4611 Mortensen Rd
Ste 103
Ames, IA 50014
Phone (515) 292-4988

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336194885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD",
            "address_2": "SUITE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146227",
            "telephone_number": "515-292-4988",
            "fax_number": "515-292-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD",
            "address_2": "SUITE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146227",
            "telephone_number": "515-292-4988",
            "fax_number": "515-292-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANTHONY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF IOWA",
            "identifier": "45194",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265934",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.