Larry T Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC420 Issued in TN

Practice address

3012 Centre Oak Way
Suite 101
Germantown, TN 38138

Phone

(901) 590-1065

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Active Health Chiropractic LLC

  • Chiropractor
  • Germantown, TN
  • NPI 1255670949
  NPD (past)
• Alpha Chiropractic Inc.

  • Chiropractor
  • Germantown, TN
  • NPI 1164513461
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649362146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 CENTRE OAK WAY",
            "address_2": "SUITE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-590-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 CENTRE OAK WAY",
            "address_2": "SUITE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-590-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LARRY",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6244189",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0038807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Nichole Davis, RN
• Darel Louis Davis, APN, FNP-C
• Edward Charles Davis, MD
• James R Davis, NP
• Joni Davis, PTA
• Randall A Davis, MD
• Roberta Ruth Davis, SLP
• Michael Elvis Davison, RN
• Louise Anne Harper Dawkins, PT, MPT
• Sarah Elisabeth Dawkins, AU.D.

• All providers in Germantown, TN
• Chiropractor in Tennessee

• 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.

Verify at the official NPI Registry.