Advanced Performance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED PERFORMANCE CHIROPRACTIC LLC

Practice address

145 S Mount Auburn Rd Ste a
Cape Girardeau, MO 63703-4913

Phone

(573) 816-3030

Fax

(573) 816-3031

NPI assigned

Dec 27, 2023

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald R Davis Jr., DCNPI 1871142349

Title

Owner

Phone

(573) 816-3030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Richard Davis Jr., DC

  • Chiropractor
  • Jackson, MO
  • NPI 1871142349
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1710756176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 BRAMBLEWOOD RD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551165",
            "telephone_number": "573-703-4637",
            "fax_number": "573-816-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MOUNT AUBURN RD STE A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034913",
            "telephone_number": "573-816-3030",
            "fax_number": "573-816-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 Bramblewood Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MO",
            "postal_code": "637551165",
            "country_code": "US",
            "telephone_number": "573-703-4637",
            "fax_number": "573-816-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-816-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Russell Adams, M.D.
• Byron Lynn Aden
• William Adetifa, BS PHARM, MBA
• Linda G. Adkisson, APRN
• Advanced Dermatology of Southeast Missouri PC
• Mariam Aehtesham
• Erin Aguila, RN,BSN
• Syed Ijlal Ahmed, MD
• Jagan M. Ailinani, MD
• Tamer Aiti, MD

• Chiropractor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.