Active NPI
Kevin W. Davis, D.C.
- Chiropractor
- Norfolk, NE
National Provider Identifier
1366537169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 677
- Practice address
- 1502 N 13TH St
Norfolk, NE 68701-2381 - Phone
- (402) 371-6415
- Fax
- (402) 371-2883
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 677 | NE | Primary |
Addresses
Primary practice location
1502 N 13TH St
Norfolk, NE 68701-2381
Mailing address
PO Box 1371
Norfolk, NE 68702-1371
Phone (402) 371-6415
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9606 | Other | BLUE CROSS BLUE SHIELD | |
| 350043379 | Other | RAILROAD MEDICARE | |
| 47081337806 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366537169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1371",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687021371",
"telephone_number": "402-371-6415",
"fax_number": "402-371-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N 13TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012381",
"telephone_number": "402-371-6415",
"fax_number": "402-371-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KEVIN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9606",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350043379",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47081337806",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.