Individual provider Active NPI

Christopher Davis, DC

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1538527759
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4612 Issued in NY
Practice address
20420 W Catawba Ave
Cornelius, NC 28031-5259
Phone
(704) 936-0007
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4612 NY Primary

Addresses

Primary practice location

20420 W Catawba Ave
Cornelius, NC 28031-5259

Mailing address

9809 Furlong TRL
Charlotte, NC 28269-0452
Phone (607) 227-7869

Other practice location 1

3570 Vest Mill Rd Ste B
Winston Salem, NC 27103-2963
Phone (336) 659-1373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805001787 NC Practitioner - Chiropractic 4880991116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10320 Mallard Creek Rd
Suite 280
Charlotte, NC 28262-5214
Phone (980) 938-5221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4612NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health and Spine Chiropractic Chiropractor CurrentSince Mar 1, 2022 Accepting new patients
Rodsater Family Chiropractic PLLC CurrentSince Aug 17, 2020 Accepting new patients
Adjusting the World Chiropractic P.C. Chiropractor PastSince Aug 17, 2020 Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 280
Charlotte, NC 28262
Phone (704) 547-1800

20420 W Catawba Ave
Cornelius, NC 28031
Phone (704) 936-0007

16419 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 895-7227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538527759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 FURLONG TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690452",
            "telephone_number": "607-227-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20420 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315259",
            "telephone_number": "704-936-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3570 Vest Mill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032963",
            "country_code": "US",
            "telephone_number": "336-659-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.