Organization Active NPI

Davis Chiropractic, Inc.

  • Chiropractor
  • Georgetown, DE
National Provider Identifier
1508066804
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000669 Issued in DE
Legal business name
DAVIS CHIROPRACTIC, INC.
Practice address
502 W Market St
Suite B
Georgetown, DE 19947-2322
Phone
(302) 856-6466
Fax
(302) 856-6618
NPI assigned
Jul 24, 2007
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. John C Davis, D.C.NPI 1992805576
Title
President
Phone
(302) 856-6466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0000669 DE Primary

Addresses

Primary practice location

502 W Market St
Suite B
Georgetown, DE 19947-2322

Mailing address

502 W Market St
Suite B
Georgetown, DE 19947-2322
Phone (302) 856-6466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000423 DE Part B Supplier - Clinic/Group Practice 1456442854 Receives reassigned benefits from 2 practitioners
Practice locations: Georgetown, DE

National Provider Directory

National Provider Directory

Locations

20461 DuPont Blvd
Ste 1
Georgetown, DE 19947
Phone (302) 856-2225

502 W Market St
#B
Georgetown, DE 19947
Phone (302) 856-6466

524 Market St
Osage City, KS 66523
Phone (785) 272-4242

Practitioners & affiliated clinicians

Practitioners 3

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1508066804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-6466",
            "fax_number": "302-856-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-6466",
            "fax_number": "302-856-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-856-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.