Keith G Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

413 Issued in ND

Practice address

722 Front Street
Casselton, ND 58012-3302

Phone

(701) 347-4006

Fax

(701) 347-4247

NPI assigned

Sep 22, 2006

Last updated

Dec 20, 2011By the provider in NPPES

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 ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Davis Chiropractic

  • Clinic/Center
  • Casselton, ND
  • NPI 1306253786
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1699875419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 FRONT ST",
            "address_2": "PO BOX 518",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123302",
            "telephone_number": "701-347-4006",
            "fax_number": "701-347-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 FRONT STREET",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "580123302",
            "telephone_number": "701-347-4006",
            "fax_number": "701-347-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEITH",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casselton Ambulance Service, Inc
• Casselton Drug Inc. (Casselton Health Mart Drug)
• Complete Motion Therapy LLC
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Casselton)
• Davis Chiropractic
• Lois Dietzler
• Bruce L Domm, MD
• Jill C Erickson
• Phillip Faught, ATC
• Rachael Lynn Fix, DC, NREMT

• Chiropractor in Casselton, ND
• Providers in Casselton, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.