Individual provider Active NPI

Gregg D. Davis, D.C.

  • Chiropractor
  • Apache Junction, AZ
National Provider Identifier
1508036674
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5232 Issued in AZ
Practice address
2565 N. Charlebois Rd.
Apache Junction, AZ 85219-8635
Phone
(480) 220-4567
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5232 AZ Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000772 AZ Practitioner - Chiropractic 0941458640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5232AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregg D. Davis D.C.,P.C. Chiropractor CurrentSince May 21, 2012 Accepting new patients

Locations

6268 S Kings Ranch Rd
Gold Canyon, AZ 85118

6268 S Kings Ranch Rd
Ste 7A
Gold Canyon, AZ 85118
Phone (480) 205-6951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1508036674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 N. CHARLEBOIS RD.",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852198635",
            "telephone_number": "480-220-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 N. CHARLEBOIS RD.",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852198635",
            "telephone_number": "480-220-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GREGG",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5232",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "5232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.