Gregg D. Davis, D.C.
Individual provider Active NPI Chiropractor · Apache Junction, AZ
NPI 1508036674 · NPPES record last updated Mar 5, 2008
Key facts
- NPI
- 1508036674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5232 (AZ)
- Practice address
- 2565 N. Charlebois Rd.
Apache Junction, AZ 85219-8635 - Phone
- (480) 220-4567
- NPI assigned
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6268 S Kings Ranch Rd
7A
Gold Canyon, AZ 85118-7344
Phone (480) 220-4567
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120921000772 | AZ | Practitioner - Chiropractic | 0941458640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5232 | AZ | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregg D. Davis D.C.,P.C. | Chiropractor | Current |
Accepting new patients |
Locations
6268 S Kings Ranch Rd
Ste 7A
Gold Canyon, AZ 85118
Phone (480) 205-6951
6268 S Kings Ranch Rd
Gold Canyon, AZ 85118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5232 | AZ | Yes |
| Sports Physician Chiropractor | 111NS0005X | 5232 | AZ |
Addresses
Primary practice location
2565 N. Charlebois Rd.
Apache Junction, AZ 85219-8635
Mailing address
2565 N. Charlebois Rd.
Apache Junction, AZ 85219-8635
Phone (480) 220-4567
Other providers in Apache Junction, AZ
- Samantha Lynn Dalley
- Alexander A Darmawaskita
- David V Curtis
- Abby Davis
- Alena Davis
- Mikaela Ariel Deans
- Lori Ann Delabio
- Dental One, Inc.
- Dentists of Apache Junction, LLP
- Dorothy Deremiah
All providers in Apache Junction, AZ · Chiropractor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.