Organization Active NPI

Davis Chiropractic Services, Inc

  • Chiropractor
  • Ames, IA
National Provider Identifier
1609828714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06450 Issued in IA
Legal business name
DAVIS CHIROPRACTIC SERVICES, INC
Doing business as
Complete Spine & Headache Center
Practice address
4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227
Phone
(515) 292-4988
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Jacob Davis, D.C.NPI 1336194885
Title
President
Phone
(515) 292-4988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06450 IA Primary

Addresses

Primary practice location

4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227

Mailing address

4611 Mortensen Rd
Suite 103
Ames, IA 50014-6227
Phone (515) 292-4988

Other names 1

  • Complete Spine & Headache Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040403000156 IA Part B Supplier - Clinic/Group Practice 0941293393 Receives reassigned benefits from 1 practitioner
Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

1618 S Duff Ave
Ames, IA 50010
Phone (515) 233-1866

4611 Mortensen Rd
Ste 103
Ames, IA 50014
Phone (515) 292-4988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609828714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD",
            "address_2": "SUITE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146227",
            "telephone_number": "515-292-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD",
            "address_2": "SUITE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146227",
            "telephone_number": "515-292-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-292-4988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Spine & Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.