Individual provider Active NPI

Teresa Davies, D.C.

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1649228107
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5497 Issued in CO
Practice address
1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300
Phone
(303) 684-8380
NPI assigned
May 5, 2006
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5497 CO Primary

Addresses

Primary practice location

1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300

Mailing address

1240 Ken Pratt Blvd
Suite 7
Longmont, CO 80501-6300
Phone (303) 684-8380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000118 CO Practitioner - Chiropractic 6204898273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 Ken Pratt Blvd
Unit 137
Longmont, CO 80501-9000
Phone (303) 884-8380

1240 Ken Pratt Blvd
Longmont, CO 80501-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5497COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Colorado Clinic of Chiropractic, PC Chiropractor CurrentSince Jul 1, 2008 Accepting new patients

Locations

1225 Ken Pratt Blvd
Unit 137
Longmont, CO 80501
Phone (303) 827-3772

1240 Ken Pratt Blvd
Ste 7
Longmont, CO 80501
Phone (303) 684-8380

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1649228107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 KEN PRATT BLVD",
            "address_2": "SUITE 7",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016300",
            "telephone_number": "303-684-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 KEN PRATT BLVD",
            "address_2": "SUITE 7",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016300",
            "telephone_number": "303-684-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.