Davis Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2082 Issued in WI

Legal business name

DAVIS CHIROPRACTIC SC

Practice address

154 E. 5TH Street
Neillsville, WI 54456-1610

Phone

(715) 743-3404

Fax

(715) 743-4999

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Allen Davis, D.C.NPI 1952396640

Title

Owner

Phone

(715) 743-3404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Davis Chiropractic SC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Allen Davis, DC

  • Chiropractor
  • Neillsville, WI
  • NPI 1952396640
  Medicare reassignment NPD Authorized official
• Judith Ann Schmidt, L.AC

  • Acupuncturist
  • Neillsville, WI
  • NPI 1952983199
  NPD
• Beverly Ann Kraly, DC

  • Chiropractor
  • Neillsville, WI
  • NPI 1598765869
  NPD (past)
• Elizabeth Huntington Mathis Huebl, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1386940963
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1669576302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E 5TH ST",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561941",
            "telephone_number": "715-743-3404",
            "fax_number": "715-743-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E. 5TH STREET",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561610",
            "telephone_number": "715-743-3404",
            "fax_number": "715-743-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-743-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38795300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Chiropractic SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark County
• Clark County
• Barbara L Colba, SLP
• Michael G Conard, PA
• Catherine M. Cordell, LCSW
• Bruce Allen Davis, DC
• Ronda Ditter, MD
• Michael K Donnelly, D.O.
• Doula Alcove
• Erin Kaye Drawz, LPC

• Chiropractor in Neillsville, WI
• Providers in Neillsville, WI by specialty
• Chiropractor in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.