Organization Active NPI

Dr Jill Davies LLC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1710016985
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1841-012 Issued in WI
Legal business name
DR JILL DAVIES LLC
Practice address
709 S Oneida St
Suite 3
Green Bay, WI 54304-2475
Phone
(920) 405-1010
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Jill Beth Davies-Kern, DC
Title
Owner
Phone
(920) 405-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1841-012 WI Primary

Addresses

Primary practice location

709 S Oneida St
Suite 3
Green Bay, WI 54304-2475

Mailing address

PO Box 33106
Green Bay, WI 54303-0101
Phone (920) 405-1010

National Provider Directory

National Provider Directory

Locations

425 S Military Ave
Ste 202
Green Bay, WI 54303
Phone (920) 338-9796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1710016985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33106",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543030101",
            "telephone_number": "920-405-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S ONEIDA ST",
            "address_2": "SUITE 3",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042475",
            "telephone_number": "920-405-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JILL DAVIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIES-KERN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-405-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1841-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.