Active NPI
Dr Jonathan B Davis PC
- Chiropractor
- Gaithersburg, MD
National Provider Identifier
1366730335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DR JONATHAN B DAVIS PC
- Practice address
- 16005 Comprint Cir
Gaithersburg, MD 20877-1318 - Phone
- (301) 963-6700
- Fax
- (301) 670-0306
- NPI assigned
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert L Carson
- Title
- Assistant
- Phone
- (240) 252-4477
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Rehabilitation Chiropractor | 111NR0400X | |||
| Sports Physician Chiropractor | 111NS0005X |
Addresses
Primary practice location
16005 Comprint Cir
Gaithersburg, MD 20877-1318
Mailing address
16005 Comprint Cir
Gaithersburg, MD 20877-1318
Phone (301) 963-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1366730335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16005 COMPRINT CIR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771318",
"telephone_number": "301-963-6700",
"fax_number": "301-670-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16005 COMPRINT CIR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771318",
"telephone_number": "301-963-6700",
"fax_number": "301-670-0306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JONATHAN B DAVIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "240-252-4477",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.