Active NPI
David Jason Davies, D.C.
- Chiropractor
- Southport, NC
National Provider Identifier
1659501682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3921
- Practice address
- 1456 N Howe St
Suite 103
Southport, NC 28461-2754 - Phone
- (910) 454-0909
- Fax
- (910) 454-0911
- NPI assigned
- Jul 24, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 3921 | NC | Primary |
Addresses
Primary practice location
1456 N Howe St
Suite 103
Southport, NC 28461-2754
Mailing address
1456 N Howe St
Suite 103
Southport, NC 28461-2754
Phone (910) 454-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090831000561 | NC | Practitioner - Chiropractic | 0042365850 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Paul White, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Sylva, NC
- NPI 1932110707
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1456 N Howe St
Suite 103
Southport, NC 28461-2674
Phone (910) 454-0909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1659501682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 N HOWE ST",
"address_2": "SUITE 103",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612754",
"telephone_number": "910-454-0909",
"fax_number": "910-454-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 N HOWE ST",
"address_2": "SUITE 103",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612754",
"telephone_number": "910-454-0909",
"fax_number": "910-454-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "DAVID",
"middle_name": "JASON",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.