Organization Active NPI

Davis Chiropractic Center, P.C.

  • Chiropractor
  • Staunton, IL
National Provider Identifier
1427388446
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.008353 Issued in IL
Legal business name
DAVIS CHIROPRACTIC CENTER, P.C.
Practice address
842 N Edwardsville St
Staunton, IL 62088-1156
Phone
(618) 635-3046
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Shawn Christopher Davis, D.C.NPI 1093914798
Title
President/Owner/Chiropractor
Phone
(618) 635-0346

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.008353 IL Primary

Addresses

Primary practice location

842 N Edwardsville St
Staunton, IL 62088-1156

Mailing address

842 N Edwardsville St
Staunton, IL 62088-1156
Phone (618) 635-3046

National Provider Directory

National Provider Directory

Locations

842 N Edwardsville St
Staunton, IL 62088
Phone (618) 635-3046

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1427388446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 N EDWARDSVILLE ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881156",
            "telephone_number": "618-635-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 N EDWARDSVILLE ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881156",
            "telephone_number": "618-635-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "618-635-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.008353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.