Individual provider Active NPI

Eric Michael Davenport, D.C.

  • Chiropractor
  • La Quinta, CA
National Provider Identifier
1396796785
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31738 Issued in CA
Practice address
78575 Highway 111 Ste 300
La Quinta, CA 92253-2083
Phone
(760) 760-3101
Fax
(760) 760-0065
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31738 CA Primary

Addresses

Primary practice location

78575 Highway 111 Ste 300
La Quinta, CA 92253-2083

Mailing address

PO Box 7475
La Quinta, CA 92248-7475
Phone (562) 485-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000567 CA Practitioner - Chiropractic 3476565615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moffitt Chiropractic IncGroup PAC ID 7911031935, 3 clinicians

Practice addresses (Care Compare)

78575 Hwy 111
Suite 300
La Quinta, CA 92253-2083
Phone (760) 760-3101

78575 Hwy 111 300
LA Quinta, CA 92253-2083

80150 US Hwy 111
Suite C5
Indio, CA 92201-8360
Phone (760) 863-0435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31738CAMDChiropractor
7700AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davenport Chiropractic, Inc Chiropractor CurrentSince Feb 1, 2026 Accepting new patients
Moffitt Chiropractic Inc Chiropractor CurrentSince May 19, 2011 Accepting new patients

Locations

80150 US Highway 111
Ste C5
Indio, CA 92201
Phone (760) 863-0435

78575 Highway 111
Ste 300
La Quinta, CA 92253
Phone (760) 760-3101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1396796785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7475",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922487475",
            "telephone_number": "562-485-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78575 HIGHWAY 111 STE 300",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532083",
            "telephone_number": "760-760-3101",
            "fax_number": "760-760-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.