Darrick Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3203 Issued in OK

Practice address

920 S Elm PL
Broken Arrow, OK 74012-5372

Phone

(918) 258-2225

Fax

(918) 251-6624

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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 OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

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.

• Back Pain Boot Camp

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1891963807
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1447347752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125372",
            "telephone_number": "918-258-2225",
            "fax_number": "918-251-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125372",
            "telephone_number": "918-258-2225",
            "fax_number": "918-251-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARRICK",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard David Davidson, MS, LADC, CRC, CVRT,
• Amanda Davies, M.ED. CCC
• Joseph William Davies Sr., PHARMACIST
• Raeleen Jenell Davis-Perry
• Blake Davis
• Heather Brooke Davis
• Jefferey L Davis, D.O.
• Laura B Davis, RPTA
• Melissa Jean Davis, PT
• Mwindaace Davis

• All providers in Broken Arrow, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.