Active NPI
Robert Kent Davis, DC
- Chiropractor
- Sophia, WV
National Provider Identifier
1598842114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 602
- Practice address
- 106 Main Street
Sophia, WV 25921-0010 - Phone
- (304) 683-4100
- Fax
- (304) 683-5043
- NPI assigned
- Nov 1, 2006
- 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 | 602 | WV | Primary |
Addresses
Primary practice location
106 Main Street
Sophia, WV 25921-0010
Mailing address
PO Box 10
106 Main Street
Sophia, WV 25921-0010
Phone (304) 683-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131885000 | Medicaid | WV |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sophia, WV
- NPI 1508943119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598842114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"address_2": "106 MAIN STREET",
"city": "SOPHIA",
"state": "WV",
"postal_code": "259210010",
"telephone_number": "304-683-4100",
"fax_number": "304-683-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MAIN STREET",
"city": "SOPHIA",
"state": "WV",
"postal_code": "259210010",
"telephone_number": "304-683-4100",
"fax_number": "304-683-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROBERT",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131885000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sophia, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.