C J Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034579 Issued in WA

Practice address

1233 W Sims Way
Port Townsend, WA 98368-3057

Phone

(360) 385-0280

Fax

(360) 385-5452

NPI assigned

May 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2005

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.

• Davis Chiropractic, P.C.

  • Chiropractor
  • Port Townsend, WA
  • NPI 1114151156
  Medicare reassignment NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1427005404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1850",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680056",
            "telephone_number": "360-385-0280",
            "fax_number": "360-385-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983683057",
            "telephone_number": "360-385-0280",
            "fax_number": "360-385-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "C",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Frances Daly, AAC
• Kay M Darlington, MASSAGE THERAPIST
• David T Chuljian DDS PS
• Davis Chiropractic, P.C.
• Andrea Davis, LMT
• Christopher James Davis, MD
• Diana L Davis, PHD
• Arista B Dechant, LMHC
• Jamillah Decianne
• Moniquea Jean Degan, APRN

• Chiropractor in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.