Active NPI
Sheryl Davis, D.C.
- Chiropractor
- Long Beach, NY
National Provider Identifier
1619181963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003801-1
- Practice address
- 911 W Park Ave
Long Beach, NY 11561-1414 - Phone
- (516) 432-4567
- Fax
- (267) 523-0005
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X003801-1 | NY | Primary |
| Chiropractor | 111N00000X | 15773 | CA | |
| Chiropractor | 111N00000X | 453 | CT |
Addresses
Primary practice location
911 W Park Ave
Long Beach, NY 11561-1414
Mailing address
911 W Park Ave
Long Beach, NY 11561-1414
Phone (516) 432-4567
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 |
|---|---|---|---|
| X003801-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619181963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 W PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611414",
"telephone_number": "516-432-4567",
"fax_number": "267-523-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611414",
"telephone_number": "516-432-4567",
"fax_number": "267-523-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHERYL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003801-1",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15773",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "453",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.