Davis Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009250 Issued in PA

Legal business name

DAVIS CHIROPRACTIC LLC

Practice address

311 S Allen St
Ste. 3
State College, PA 16801-4857

Phone

(814) 441-4484

Fax

(814) 234-0395

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Davis, DCNPI 1295893212

Title

Owner

Phone

(814) 441-4484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dcl0009@dcl0009.direct.chirotouch.md

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Davis, D.C.

  • Chiropractor
  • State College, PA
  • NPI 1295893212
  Medicare reassignment NPD Authorized official
• Heather Ann Dick, LCSW

  • Clinical Social Worker
  • State College, PA
  • NPI 1245428655
  NPD (past)
• Tiffany Wilson, LMT

  • Massage Therapist
  • State College, PA
  • NPI 1033463237
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508087404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GHANER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031172",
            "telephone_number": "814-441-4484",
            "fax_number": "814-234-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S ALLEN ST",
            "address_2": "STE. 3",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014857",
            "telephone_number": "814-441-4484",
            "fax_number": "814-234-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-441-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manabendra Datta, M.D.
• Thomas Pearce Dauler, M.D.
• David C Zeigler, MD PC
• Lauren B Davidson, CRNP
• Matthew D Davidson, DO
• Basil Ashley Davis, SLP
• Jay D Davis, FNP-C
• Jennifer Davis, CCC-SLP
• Suzanne Davis, D.C.
• Mark Ellison Davison, DPM

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.