Individual provider Active NPI

James Henry Davis, D.C.

  • Chiropractor
  • Milford, CT
National Provider Identifier
1568716926
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001505 Issued in CT
Practice address
117 River St
Offices B
Milford, CT 06460-3315
Phone
(203) 301-3330
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001505 CT Primary

Addresses

Primary practice location

117 River St
Offices B
Milford, CT 06460-3315

Mailing address

117 River St
Offices B
Milford, CT 06460-3315
Phone (203) 301-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000226 CT Practitioner - Chiropractic 4789585902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Physical and Aquatic Therapy Center, IncGroup PAC ID 2769419514, 2 clinicians

Practice addresses (Care Compare)

397 Bridgeport Ave
Milford, CT 06460-4151
Phone (203) 877-0112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001505CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Back Center Chiropractor CurrentSince Sep 5, 2019 Accepting new patients
Omni Physical & Aquatic Therapy Center, Inc Chiropractor CurrentSince Jan 20, 2020 Accepting new patients
Chiropractic Associates of Bridgeport Chiropractor Past Accepting new patients
Chiropractic Associates of Bridgeport, LLC Chiropractor PastSince Sep 1, 2013 Accepting new patients
Advanced Health Professionals Chiropractor Past Accepting new patients

Locations

397 Bridgeport Ave
Milford, CT 06460
Phone (203) 874-0555

200 Queen St
Southington, CT 06489
Phone (860) 621-2225

8 Research Pkwy
Wallingford, CT 06492
Phone (203) 265-9122

Organizations & group practices 5

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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1568716926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 RIVER ST",
            "address_2": "OFFICES B",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603315",
            "telephone_number": "203-301-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RIVER ST",
            "address_2": "OFFICES B",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603315",
            "telephone_number": "203-301-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.