Active NPI
Dr Jill Davies LLC
- Chiropractor
- Green Bay, WI
National Provider Identifier
1710016985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1841-012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Green Bay, WI
- NPI 1972685634
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.