Justin Michael Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4037 Issued in OR

Practice address

9370 SW Greenburg Rd # 605
Tigard, OR 97223-5442

Phone

(503) 206-4620

Fax

(503) 206-5013

NPI assigned

Jul 20, 2010

Last updated

May 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevation Chiropractic P.C.

  dba Elevation Chiropractic and Rehabilitation

  • Chiropractor
  • Tigard, OR
  • NPI 1073111860
  Medicare reassignment NPD Authorized official
• Elevation Chiropractic and Rehabilitation

  • Chiropractor
  • Tigard, OR
  • NPI 1881031334
  NPD (past) Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1609189513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W FAIRFIELD ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272029",
            "telephone_number": "503-703-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD # 605",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235442",
            "telephone_number": "503-206-4620",
            "fax_number": "503-206-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Grajeda Davis, LMT
• Curry E Davis
• Devon Davis
• Elizabeth R. Davis, O.D.
• Faith Davis
• Lametrius Tarell Davis Sr.
• Larson Davis
• Mackenzie Davis, MA, LPC
• Matthew John Davis, QMHP
• Nathaniel Davis Jr.

• Chiropractor in Tigard, OR
• Providers in Tigard, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.