Active NPI
Edwin F Davis DC LLC
Doing business as Gentle Touch Chiropractic
- Chiropractor
- Omro, WI
National Provider Identifier
1396162111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- EDWIN F DAVIS DC LLC
- Doing business as
- Gentle Touch Chiropractic
- Practice address
- 5430 Reighmoor Rd
Omro, WI 54963-9438 - Phone
- (920) 312-3472
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- 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
- Dr. Edwin Floyd Davis, DC
- Title
- Owner/Member
- Phone
- (920) 312-3472
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
5430 Reighmoor Rd
Omro, WI 54963-9438
Mailing address
5430 Reighmoor Rd
Omro, WI 54963-9438
Phone (920) 312-3472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38970700 | Medicaid | WI |
Other names 1
- Gentle Touch Chiropractic
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, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Omro, WI
- NPI 1528159175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1396162111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 REIGHMOOR RD",
"city": "OMRO",
"state": "WI",
"postal_code": "549639438",
"telephone_number": "920-312-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 REIGHMOOR RD",
"city": "OMRO",
"state": "WI",
"postal_code": "549639438",
"telephone_number": "920-312-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN F DAVIS DC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "FLOYD",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "920-312-3472",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38970700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentle Touch Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Omro, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.