Active NPI
Douglas Ray Davis, D.C.
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1407039829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5926
- Practice address
- 1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876 - Phone
- (801) 942-0069
- Fax
- (801) 942-2809
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5926 | UT | Primary |
Addresses
Primary practice location
1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876
Mailing address
1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876
Phone (801) 942-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5926 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Health & Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sandy, UT
- NPI 1841524840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1407039829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 E FORT UNION BLVD",
"address_2": "SUITE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841212876",
"telephone_number": "801-942-0069",
"fax_number": "801-942-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 E FORT UNION BLVD",
"address_2": "SUITE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841212876",
"telephone_number": "801-942-0069",
"fax_number": "801-942-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DOUGLAS",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "5926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.