Organization Active NPI

Matthew J Davis DC PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1457466310
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1249 Issued in NE
Legal business name
MATTHEW J DAVIS DC PC
Doing business as
Davis Chiropractic
Practice address
13479 W Center Rd
Omaha, NE 68144-3412
Phone
(402) 964-2930
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. Matthew Jon Davis, DCNPI 1811924921
Title
President
Phone
(402) 964-2930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1249 NE Primary

Addresses

Primary practice location

13479 W Center Rd
Omaha, NE 68144-3412

Mailing address

12100 W Center Rd Ste 208
Omaha, NE 68144-3960
Phone (402) 964-2930

Other identifiers 1

IdentifierTypeStateIssuer
10025388900MedicaidNE

Other names 1

  • Davis Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000051 NE Part B Supplier - Clinic/Group Practice 8224000963 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

13479 W Center Rd
#C
Omaha, NE 68144

715 N 120th St
Omaha, NE 68154
Phone (402) 496-4570

13479 W Center Rd
Omaha, NE 68144
Phone (402) 964-2930

12100 W Center Rd
Ste 208
Omaha, NE 68144
Phone (402) 964-2930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1457466310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 W CENTER RD STE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443960",
            "telephone_number": "402-964-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13479 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443412",
            "telephone_number": "402-964-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J DAVIS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-964-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025388900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.