NPIMap

Organization Active NPI

Davidson Family Chiropractic LLC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1780905133
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4466-012 Issued in WI
Legal business name
DAVIDSON FAMILY CHIROPRACTIC LLC
Practice address
21075 Swenson Dr
Waukesha, WI 53186-2000
Phone
(262) 754-6850
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Jason W Davidson, D.C.
Title
Co-Owner
Phone
(262) 754-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4466-012 WI Primary

Addresses

Primary practice location

21075 Swenson Dr
Waukesha, WI 53186-2000

Mailing address

21075 Swenson Dr
Waukesha, WI 53186-2000
Phone (262) 754-6850

Other names 1

  • Davidson Family Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

21075 Swenson Dr
Ste 700
Waukesha, WI 53186
Phone (262) 754-6850

21075 Swenson Dr
Waukesha, WI 53186
Phone (262) 425-5174

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1780905133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21075 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862000",
            "telephone_number": "262-754-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21075 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862000",
            "telephone_number": "262-754-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "262-754-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4466-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.