Individual provider Active NPI

Ashley Sara Davis, LAC

  • Acupuncturist
  • Arlington Heights, IL
National Provider Identifier
1588293765
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001455 Issued in IL
Practice address
45 S Dunton Ave
Arlington Heights, IL 60005-1401
Phone
(847) 368-1122
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001455 IL Primary

Addresses

Primary practice location

45 S Dunton Ave
Arlington Heights, IL 60005-1401

Mailing address

100 Village GRN Ste 220L
Lincolnshire, IL 60069-3095
Phone (872) 221-3139

Other practice location 1

100 Village Grn Ste 220L
Lincolnshire, IL 60069-3095
Phone (872) 221-3139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Pacific Medical College, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2022 Oakton St
Park Ridge, IL 60068-1958

2223 Lakeside Dr
Bannockburn, IL 60015-1265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
198.001455ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1588293765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GRN STE 220L",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693095",
            "telephone_number": "872-221-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051401",
            "telephone_number": "847-368-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Village Grn Ste 220L",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600693095",
            "country_code": "US",
            "telephone_number": "872-221-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "SARA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.