Individual provider Active NPI

Jeffrey Davis

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1710951843
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
977 Issued in SD
Practice address
5107 W 41St Street
Suite 4
Sioux Falls, SD 57106-1463
Phone
(605) 338-4200
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 977 SD Primary

Addresses

Primary practice location

5107 W 41St Street
Suite 4
Sioux Falls, SD 57106-1463

Mailing address

5107 W 41St Street,
Suite 4
Sioux Falls, SD 57106-1463
Phone (605) 338-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000494 SD Practitioner - Chiropractic 4789771627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5107 W 41St St
Sioux Falls, SD 57106-1463
Phone (605) 338-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Clinic Chiropractor CurrentSince Mar 4, 2002 Accepting new patients
Complete Medical Supply CurrentSince Jun 9, 2020 Accepting new patients

Locations

5107 W 41st St
Ste 4
Sioux Falls, SD 57106
Phone (605) 275-0270

427 N Minnesota Ave
Sioux Falls, SD 57104
Phone (605) 321-5174

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1710951843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 W 41ST STREET,",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061463",
            "telephone_number": "605-338-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 W 41ST STREET",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061463",
            "telephone_number": "605-338-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.