Active NPI
Ardee Frizzell Davis, DC
- Rehabilitation Chiropractor
- Somerset, NJ
National Provider Identifier
1669552170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MC004702
- Practice address
- 477 Hamilton St
Ste 1
Somerset, NJ 00873-2600 - Phone
- (732) 296-1906
- Fax
- (732) 296-1908
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MC004702 | NJ | Primary |
Addresses
Primary practice location
477 Hamilton St
Ste 1
Somerset, NJ 00873-2600
Mailing address
477 Hamilton St
Ste 1
Somerset, NJ 00873-2600
Phone (732) 296-1906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140905001268 | NJ | Practitioner - Chiropractic | 7416122635 | Practice locations: Somerset, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
477 Hamilton St
Somerset, NJ 08873-2600
Phone (732) 296-1906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669552170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 HAMILTON ST",
"address_2": "STE 1",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "008732600",
"telephone_number": "732-296-1906",
"fax_number": "732-296-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 HAMILTON ST",
"address_2": "STE 1",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "008732600",
"telephone_number": "732-296-1906",
"fax_number": "732-296-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ARDEE",
"middle_name": "FRIZZELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "MC004702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
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.
- 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.