Active NPI
Cody James Davis, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1598363384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13084
- Practice address
- 4540 W Bailey Boswell Rd Ste 170
Fort Worth, TX 76179-4439 - Phone
- (817) 497-8961
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13084 | TX | Primary |
Addresses
Primary practice location
4540 W Bailey Boswell Rd Ste 170
Fort Worth, TX 76179-4439
Mailing address
6308 Jasper Lake Dr
Fort Worth, TX 76179-1592
Phone (817) 368-3985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13084 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1598363384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 JASPER LAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761791592",
"telephone_number": "817-368-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 W BAILEY BOSWELL RD STE 170",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761794439",
"telephone_number": "817-497-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CODY",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.