James Patrick Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05075 Issued in IA

Practice address

1706 Brady St
Suite 104
Davenport, IA 52803-4712

Phone

(563) 650-5645

Fax

(563) 322-6228

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1508930900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST",
            "address_2": "SUITE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034712",
            "telephone_number": "563-650-5645",
            "fax_number": "563-322-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST",
            "address_2": "SUITE 104",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034712",
            "telephone_number": "563-650-5645",
            "fax_number": "563-322-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "05075",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225987",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davenport Surgical Group PC
• Lindsay Jo Davenport, PA-C
• David Warren Schroeder
• Cammie A Davis, FNP
• Cassie L Davis
• Jason Davis, D.O.
• Julia Ann Davis, MA CCC-SLP
• Michaela D'Rae Davis
• Pamela F Davis, MD
• Wendy Elizabeth Davis, CRT, RCP

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.