Individual provider Active NPI

Heather Naomi Davidson, D.C.

  • Chiropractor
  • Maurice, LA
National Provider Identifier
1417338757
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1838 Issued in LA
Practice address
7992 Maurice Ave
Maurice, LA 70555
Phone
(337) 898-0522
NPI assigned
Jun 12, 2015
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1838 LA Primary
Chiropractor 111N00000X 12894 TX

Addresses

Primary practice location

7992 Maurice Ave
Maurice, LA 70555

Mailing address

851 Lake Carolyn Pkwy Apt 546
Irving, TX 75039-4120
Phone (337) 412-0520

Other practice location 1

3434 W Illinois Ave
Suite 118
Dallas, TX 75211-8709
Phone (214) 339-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001001258 LA Practitioner - Chiropractic 8426309436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abshire Chiropractic LLCGroup PAC ID 1658393426, 2 clinicians

Practice addresses (Care Compare)

7992 Maurice Ave
Maurice, LA 70555-4434
Phone (337) 898-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12894TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Abshire Chiropractic, LLC CurrentSince Sep 10, 2018 Accepting new patients
Parsa Diagnostics Chiropractor Past Accepting new patients

Locations

7992 Maurice Ave
Maurice, LA 70555
Phone (337) 412-0520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1417338757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LAKE CAROLYN PKWY APT 546",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394120",
            "telephone_number": "337-412-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7992 MAURICE AVE",
            "city": "MAURICE",
            "state": "LA",
            "postal_code": "70555",
            "telephone_number": "337-898-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 W Illinois Ave",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752118709",
            "country_code": "US",
            "telephone_number": "214-339-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "HEATHER",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1838",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maurice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.