Wayne Byron Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011236 Issued in IL

Practice address

863 S Perryville Rd Ste 100
Rockford, IL 61108-4328

Phone

(779) 423-2044

Fax

(779) 423-2045

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Chiropractic First of Rockford

  • Chiropractor
  • Rockford, IL
  • NPI 1619255858
  Medicare reassignment NPD
• Milan Medical Group LTD

  dba Blackwood Family Wellness

  • General Practice Physician
  • Milan, IL
  • NPI 1346362589

  Chiropractor

  Medicare reassignment NPD
• Wayne Davis Chiropractic Inc

  • Chiropractor
  • Moline, IL
  • NPI 1447559935
  Authorized official Same address or phone
• Moline Chiropractic Clinic, PC

  • Chiropractor
  • Moline, IL
  • NPI 1932389202
  NPD (past)
• Ebert Chiropractic Clinic

  • Chiropractor
  • Waterloo, IA
  • NPI 1922094267
  NPD (past)
• Ebert Chiropractic Clinic PC

  • Chiropractor
  • Waterloo, IA
  • NPI 1043410087
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1376716654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 5TH AVE STE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657911",
            "telephone_number": "563-650-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 S PERRYVILLE RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084328",
            "telephone_number": "779-423-2044",
            "fax_number": "779-423-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Ansborough Ave",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507013430",
            "country_code": "US",
            "telephone_number": "319-232-9436",
            "fax_number": "319-232-2342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 5th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612657911",
            "country_code": "US",
            "telephone_number": "563-650-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WAYNE",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06529",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1447559935",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Davis
• Lisa A Davis, M.D.
• Phillip Alan Davis, LSW
• Raymond A. Davis, MD
• Rosey Cassioppi Davis
• Altaf Dawood, M.D.
• Michelle Renee Day, RPH
• Aulbrey E De Alwis, APN
• Emanuel Edwardo De la Fuente, DMD
• Joanna Marie Dy De Leon, MS, LCPC

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.