John James Davidson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13182 Issued in FL

Practice address

6731 Professional Pkwy Ste 100
Lakewood Ranch, FL 34240-8491

Phone

(941) 914-7246

Fax

(941) 360-1362

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optimal Function Chiropractic

  • Chiropractor
  • Lakewood Ranch, FL
  • NPI 1699387001
  Medicare reassignment NPD Authorized official
• Pyramid Physical Medical Center, LLC

  • Chiropractor
  • Baltimore, MD
  • NPI 1174705453
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1689733651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 PROFESSIONAL PKWY STE 100",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408491",
            "telephone_number": "941-914-7246",
            "fax_number": "941-360-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 PROFESSIONAL PKWY STE 100",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408491",
            "telephone_number": "941-914-7246",
            "fax_number": "941-360-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01967",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH13182",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "KDN4",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davian O Dalmage
• Nicole S Dalsania, PA-C
• Janelle Damrau, RMHCI
• Christy Dao
• Molly Daunt
• Davis Visionaries Inc. Dba Firstlight Home Care of Manatee County
• Arianna K Davis, AU.D.
• Madeline Grace Dawson
• Andre De Souza E Melo, M.D.
• Jacqueline Deaton, BCBA, M.ED.

• Chiropractor in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.