Individual provider Active NPI

Steven Randall Davis, D.C.

  • Chiropractor
  • Salinas, CA
National Provider Identifier
1477584902
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17090 Issued in CA
Practice address
100 E Romie LN
Ste 4
Salinas, CA 93901-3167
Phone
(831) 757-8240
Fax
(831) 757-1622
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17090 CA Primary

Addresses

Primary practice location

100 E Romie LN
Ste 4
Salinas, CA 93901-3167

Mailing address

100 E Romie LN
Ste 4
Salinas, CA 93901-3167
Phone (831) 757-8240

Other identifiers 2

IdentifierTypeStateIssuer
770335180OtherCATAX ID
DC17090OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000352 CA Practitioner - Chiropractic 4880785765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 S El Camino Real
Greenfield, CA 93927-6009
Phone (831) 757-8240

100 E Romie LN
Suite 4
Salinas, CA 93901-3167
Phone (831) 757-8240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17090CAMDChiropractor
17090CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Chiropractor CurrentSince Oct 9, 2006 Accepting new patients

Locations

100 E Romie Ln
Ste 4
Salinas, CA 93901
Phone (831) 757-8240

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1477584902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E ROMIE LN",
            "address_2": "STE 4",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013167",
            "telephone_number": "831-757-8240",
            "fax_number": "831-757-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ROMIE LN",
            "address_2": "STE 4",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013167",
            "telephone_number": "831-757-8240",
            "fax_number": "831-757-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVEN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770335180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC17090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.