NPIMap

Organization Active NPI

Dr Douglas R Davis PC

Doing business as Davis Chiropractic

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1477546216
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5926 Issued in UT
Legal business name
DR DOUGLAS R DAVIS PC
Doing business as
Davis Chiropractic
Practice address
1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876
Phone
(801) 942-0069
Fax
(801) 942-2809
NPI assigned
Aug 26, 2005
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Douglas Ray Davis, DCNPI 1407039829
Title
President Owner
Phone
(801) 942-0069

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5926 UT Primary

Addresses

Primary practice location

1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876

Mailing address

1770 E Fort Union Blvd
Suite 101
Salt Lake City, UT 84121-2876
Phone (801) 942-0069

Other names 1

  • Davis Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1770 E Fort Union Blvd
Ste 101
Salt Lake Cty, UT 84121
Phone (801) 942-0069

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": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1477546216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E FORT UNION BLVD",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212876",
            "telephone_number": "801-942-0069",
            "fax_number": "801-942-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E FORT UNION BLVD",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212876",
            "telephone_number": "801-942-0069",
            "fax_number": "801-942-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOUGLAS R DAVIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "801-942-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.