William B. Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1514 Issued in NY

Practice address

1567 Military Rd
Kenmore, NY 14217-1264

Phone

(716) 877-0676

Fax

(716) 877-4248

NPI assigned

Apr 11, 2007

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

Other identifiers 2

Other names 1

• Gary Brent Davis Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• American Disc and Spine Inc.

  • Chiropractor
  • Hamburg, NY
  • NPI 1972752590
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267228800000",
    "number": "1376766063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171264",
            "telephone_number": "716-877-0676",
            "fax_number": "716-877-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171264",
            "telephone_number": "716-877-0676",
            "fax_number": "716-877-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020119601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000206168001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "DAVIS",
            "middle_name": "BRENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Kay Daquin
• Scott R Darling, MD
• David J. Serra, M.D., P.C.
• Brittney Davis
• Jeremiah Evan Davis, D.C.
• Kayla Justyne De Los Santos, OTR/L
• Allison Defabbio, LMT
• Tina Marie Degeorge, MSPT
• Elizabeth M Delcotto
• Jenna Delmont, OTR/L

• Chiropractor in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; 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.