Active NPI
Clinton Walter Davis, D.C.
- Chiropractor
- Carrollton, TX
National Provider Identifier
1649585449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11374
- Practice address
- 2201 Midway Rd
Suite 100G
Carrollton, TX 75006-5068 - Phone
- (817) 455-5267
- NPI assigned
- Aug 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11374 | TX | Primary |
Addresses
Primary practice location
2201 Midway Rd
Suite 100G
Carrollton, TX 75006-5068
Mailing address
2201 Midway Rd
Suite 100G
Carrollton, TX 75006-5068
Phone (817) 455-5267
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 |
|---|---|---|---|
| 11374 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1649585449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 MIDWAY RD",
"address_2": "SUITE 100G",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065068",
"telephone_number": "817-455-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 MIDWAY RD",
"address_2": "SUITE 100G",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750065068",
"telephone_number": "817-455-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CLINTON",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.