Kenneth William Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7277 Issued in FL

Practice address

381 Palm Coast Pkwy SW
Unit 2
Palm Coast, FL 32137-4781

Phone

(386) 264-6800

Fax

(386) 264-6802

NPI assigned

Apr 3, 2007

Last updated

Jun 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis Chiropractic Center IncGroup PAC ID 2961644430, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davis Chiropractic Center Inc

  • Chiropractor
  • Palm Coast, FL
  • NPI 1649611369
  Medicare reassignment Care Compare group
• Blue Sea Mental Health Practitioners LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Coast, FL
  • NPI 1821798414
  NPD
• Clifford Fruithandler DC PA

  • Chiropractor
  • Parkland, FL
  • NPI 1376863753
  NPD (past)
• Palm Coast Chiropractic Center, Jta Inc

  • Chiropractor
  • Bunnell, FL
  • NPI 1679673396
  NPD (past)
• Progressive Medical Center

  • Chiropractor
  • Margate, FL
  • NPI 1851488209
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1740301886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 PALM COAST PKWY SW",
            "address_2": "UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374781",
            "telephone_number": "386-264-6800",
            "fax_number": "386-264-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PALM COAST PKWY SW",
            "address_2": "UNIT 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374781",
            "telephone_number": "386-264-6800",
            "fax_number": "386-264-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381133600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Davenport
• Patrick Davenport, RPH
• David's Chariots
• Davis Chiropractic Center Inc
• Alvatina L Davis, LPN
• Latassa Davis, LMT
• Margaret Davis, OTR/L, CHT
• Rachel Davis
• Shauntae Davis, ED.S, NCSP
• Desiree Marie Day

• Chiropractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.