Active NPI
Robert J Davies, DC
- Chiropractor
- Syracuse, NY
National Provider Identifier
1598897704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0022041
- Practice address
- 757 Fay Road
Syracuse, NY 13219 - Phone
- (315) 488-0909
- Fax
- (315) 488-7322
- NPI assigned
- Mar 12, 2007
- 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 | X0022041 | NY | Primary |
Addresses
Primary practice location
757 Fay Road
Syracuse, NY 13219
Mailing address
757 Fay Road
Syracuse, NY 13219
Phone (315) 488-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320767 | Other | ACN NETWORK | |
| C022048B | Other | NY | NY WORKERS COMPENSATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0022041 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1598897704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 FAY ROAD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13219",
"telephone_number": "315-488-0909",
"fax_number": "315-488-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 FAY ROAD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13219",
"telephone_number": "315-488-0909",
"fax_number": "315-488-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0022041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN NETWORK",
"identifier": "320767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY WORKERS COMPENSATION",
"identifier": "C022048B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.