Individual provider Active NPI

Johnny Davis Jr., DC

  • Chiropractor
  • Highlands Ranch, CO
National Provider Identifier
1700379930
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6520 Issued in MN
Practice address
200 W County Line Rd Ste 310
Highlands Ranch, CO 80129-2342
Phone
(303) 913-4737
Fax
(303) 975-6950
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6520 MN Primary

Addresses

Primary practice location

200 W County Line Rd Ste 310
Highlands Ranch, CO 80129-2342

Mailing address

200 W County Line Rd Ste 310
Highlands Ranch, CO 80129-2342
Phone (303) 913-4737

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

LicenseStateTypeSpecialty
6520MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Navigater Health Chiropractic PLLC Chiropractor CurrentSince Apr 9, 2024 Accepting new patients
Navigate Wellness PLLC Chiropractor PastSince Apr 9, 2024 Accepting new patients

Locations

200 W County Line Rd
Ste 310
Highlands Ranch, CO 80129
Phone (303) 791-2841

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1700379930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 310",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-913-4737",
            "fax_number": "303-975-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 310",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-913-4737",
            "fax_number": "303-975-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHNNY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.