Davis Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVIS FAMILY CHIROPRACTIC LLC

Practice address

1925 E Main St
Little Chute, WI 54140-2457

Phone

(920) 462-4630

NPI assigned

Jun 27, 2018

Last updated

Aug 24, 2023By 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

Krystal Davis, DCNPI 1780913202

Title

Chiropractor/Owner

Phone

(920) 634-9001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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.

• Krystal Rae Davis, D.C.

  • Chiropractor
  • Little Chute, WI
  • NPI 1780913202
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1740775279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 RUSCH DR",
            "city": "COMBINED LOCKS",
            "state": "WI",
            "postal_code": "541131426",
            "telephone_number": "920-634-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E MAIN ST",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541402457",
            "telephone_number": "920-462-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "920-634-9001",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Breining, DDS
• Cory Briggs
• James Brotz
• Melissa A Chambers, LPC
• Ronald James Collard, R.PH.
• Krystal Rae Davis, D.C.
• Jessica Demerath
• Ebben & Pynenberg DDS SC
• Michael Charles Ebben, DDS
• Chance Eiting

• Chiropractor in Little Chute, WI
• Providers in Little Chute, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.