Active NPI
Jessica Michelle Davidson, D.C.
- Chiropractor
- Glenolden, PA
National Provider Identifier
1679704357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010005
- Practice address
- 901 W Ashland Ave
Glenolden, PA 19036-1101 - Phone
- (270) 922-1785
- Fax
- (610) 461-0142
- NPI assigned
- Jul 29, 2009
- Last updated
- Nov 16, 2009
- Sex
- Female
- 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 | DC010005 | PA | Primary |
Addresses
Primary practice location
901 W Ashland Ave
Glenolden, PA 19036-1101
Mailing address
901 W Ashland Ave
Glenolden, PA 19036-1101
Phone (270) 922-1785
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 |
|---|---|---|---|
| DC010005 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pma Medical Specialists | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Prime Health Network
- Internal Medicine Physician
- Broomall, PA
- NPI 1043212137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1679704357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W ASHLAND AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190361101",
"telephone_number": "270-922-1785",
"fax_number": "610-461-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W ASHLAND AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190361101",
"telephone_number": "270-922-1785",
"fax_number": "610-461-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JESSICA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenolden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.