Kenneth Casey Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

698 Issued in WY

Practice address

1101 Main Street
Suite 208
Evanston, WY 82930

Phone

(307) 444-7773

NPI assigned

Dec 15, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1366771677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 483",
            "city": "MT. VIEW",
            "state": "WY",
            "postal_code": "829390483",
            "telephone_number": "307-444-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MAIN STREET",
            "address_2": "SUITE 208",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "82930",
            "telephone_number": "307-444-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENNETH",
        "middle_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shad Fredrick Crapo, PA-C
• D McKay Francom DDS
• David R Russell OD (Accurate Eye Care)
• Davidson Chiropractic Clinic - Evanston LLC
• Carol Diane Davis, OTR/L
• Denise Debarre, PHD
• Justin T Dennis, P.T.
• Katherine Dent
• Depalma Pediatrics Dba Evanston Pediatrics
• Catherine Marie Depalma, MD

• Chiropractor in Evanston, WY
• Providers in Evanston, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.