Davis Spine and Sport Recovery LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVIS SPINE AND SPORT RECOVERY LLC

Practice address

314 Billy Dyar Blvd Apt 4
Boaz, AL 35957-2217

Phone

(256) 907-9561

Fax

(256) 907-9435

NPI assigned

Aug 12, 2025

Last updated

Oct 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Connor Lee DavisNPI 1356090591

Title

Owner

Phone

(256) 907-9561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connor Lee Davis

  • Chiropractor
  • Boaz, AL
  • NPI 1356090591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1609752047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BILLY DYAR BLVD APT 4",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572217",
            "telephone_number": "256-907-9561",
            "fax_number": "256-907-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BILLY DYAR BLVD APT 4",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572217",
            "telephone_number": "256-907-9561",
            "fax_number": "256-907-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SPINE AND SPORT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-907-9561",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion Stephen Clevenger
• Clifton Care Inc
• Angela L. Clifton, M.D.
• Douglas Wayne Clink, M.D.
• Ashley Nicole Colquitt, CRNP
• Connor Lee Davis
• Mark A. Davis, O.D.
• Kyle Dean
• Matilde Vinoya Dela Cruz, CRNP
• Kristen Delauney, AU.D.

• Chiropractor in Boaz, AL
• Providers in Boaz, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.