Individual provider Active NPI

Alisha Anne Davis, DC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1770579930
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2632 Issued in NC
Practice address
7901 Strickland Rd Ste 115
Raleigh, NC 27615-3189
Phone
(919) 615-2257
Fax
(919) 615-2347
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2632 NC Primary

Addresses

Primary practice location

7901 Strickland Rd Ste 115
Raleigh, NC 27615-3189

Mailing address

7901 Strickland Rd Ste 115
Raleigh, NC 27615-3189
Phone (919) 615-2257

Other identifiers 2

IdentifierTypeStateIssuer
2452928MedicaidNC
890834EMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070714000119 NC Practitioner - Chiropractic 6608976014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2632NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Chiropractic, PLLC Chiropractor CurrentSince Dec 18, 2006 Accepting new patients
Davis Family Chiropractic, PLLC CurrentSince Nov 1, 2012 Accepting new patients

Locations

7901 Strickland Rd
Ste 104
Raleigh, NC 27615
Phone (919) 615-2257

7901 Strickland Rd
Ste 115
Raleigh, NC 27615
Phone (919) 615-2257

4908 Professional Ct
Raleigh, NC 27609
Phone (919) 850-2440

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1770579930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STRICKLAND RD STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153189",
            "telephone_number": "919-615-2257",
            "fax_number": "919-615-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 STRICKLAND RD STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153189",
            "telephone_number": "919-615-2257",
            "fax_number": "919-615-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALISHA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452928",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890834E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.