Active NPI
Timothy R Davis, DC
- Chiropractor
- Mansfield, OH
National Provider Identifier
1477629319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 712
- Practice address
- 1805 Park Avenue West
Mansfield, OH 44906 - Phone
- (419) 529-6600
- Fax
- (419) 529-4677
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 712 | OH | Primary |
Addresses
Primary practice location
1805 Park Avenue West
Mansfield, OH 44906
Mailing address
1805 Park Avenue West
Mansfield, OH 44906
Phone (419) 529-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1805 Park Ave W
Ontario, OH 44906-2229
Phone (419) 529-6600
Hospital & facility affiliations
- Avita Ontario
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 712 | OH | MD | Chiropractor |
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.
-
- Clinic/Center
- Ontario, OH
- NPI 1073890034
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1477629319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 PARK AVENUE WEST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-529-6600",
"fax_number": "419-529-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 PARK AVENUE WEST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-529-6600",
"fax_number": "419-529-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIMOTHY",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.