Active NPI
Debra F. Davis, DC & ACUPUNCTURIST
- Chiropractor
- Fargo, ND
National Provider Identifier
1447432976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 437
- Practice address
- 1515 University Dr S
Fargo, ND 58103-4169 - Phone
- (701) 232-4922
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 437 | ND | Primary |
| Acupuncturist | 171100000X | 437 | ND |
Addresses
Primary practice location
1515 University Dr S
Fargo, ND 58103-4169
Mailing address
1515 University Dr S
Fargo, ND 58103-4169
Phone (701) 232-4922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4328 | Other | ND | BLUECROSSBLUESHEILD |
| 15199 | Medicaid | ND |
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 |
|---|---|---|---|
| 437 | ND | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1447432976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034169",
"telephone_number": "701-232-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034169",
"telephone_number": "701-232-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBRA",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "DC & ACUPUNCTURIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "437",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ND",
"license": "437",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHEILD",
"identifier": "4328",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15199",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.