Active NPI
Jason Raymond Davis, DC
- Chiropractor
- Durham, NC
National Provider Identifier
1750447488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- NC1704
- Practice address
- 3711 N Roxboro St
Durham, NC 27704-2744 - Phone
- (919) 477-0497
- Fax
- (919) 477-3384
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NC1704 | NC | Primary |
Addresses
Primary practice location
3711 N Roxboro St
Durham, NC 27704-2744
Mailing address
3711 N Roxboro St
Durham, NC 27704-2744
Phone (919) 477-0497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908219 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1704 | NC | MD | Chiropractor |
| 1704 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1750447488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042744",
"telephone_number": "919-477-0497",
"fax_number": "919-477-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042744",
"telephone_number": "919-477-0497",
"fax_number": "919-477-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JASON",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "NC1704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908219",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.