Individual provider Active NPI

Peyten Ross Davis, DC, MS

  • Chiropractor
  • Irving, TX
National Provider Identifier
1609680180
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16192 Issued in TX
Practice address
4301 N Macarthur Blvd
Irving, TX 75038-6497
Phone
(214) 945-9666
NPI assigned
Feb 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16192 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Irving, TX 75038-6497

Mailing address

3535 Bluffs LN Apt 3112
Grapevine, TX 76051-1198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002655 TX Practitioner - Chiropractic 6204350507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16192TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Chiropractic of Texas, LLC Chiropractor CurrentSince Mar 30, 2025 Accepting new patients

Locations

5602 Naaman Forest Blvd
Garland, TX 75044
Phone (972) 202-8259

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.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1609680180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 BLUFFS LN APT 3112",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "214-945-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PEYTEN",
        "middle_name": "ROSS",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.