Jake Westley Davidson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05879 Issued in KS

Practice address

7951 W 160TH Street
Suite 500
Overland Park, KS 66223

Phone

(731) 414-3241

NPI assigned

May 26, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

University of Tennessee, HSC, College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Davidson Family Chiropractic LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1073018446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679921902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 RUSSELL ST APT 126",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7951 W 160TH STREET",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "731-414-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2064 US Highway 45 Byp S",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383823507",
            "country_code": "US",
            "telephone_number": "731-855-0301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2064 US Highway 45 Byp S",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383823507",
            "country_code": "US",
            "telephone_number": "731-855-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JAKE",
        "middle_name": "WESTLEY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a. Miller, PH.D., LLC
• David B. Shuck DO, LLC
• David Pulcher, PH.D., LLC
• Sarah Jo David, PH.D.
• Davidson Family Chiropractic LLC
• James A Davidson, MD
• Laura M. Davidson, A.N.P.
• Matthew Blake Lee Davies, DC
• Shareece Davis-Nelson, M.D.
• Alexander C Davis, MD

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.