Individual provider Active NPI

John Ryan Davis, D.C.

  • Chiropractor
  • Largo, FL
National Provider Identifier
1801220728
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10984 Issued in FL
Practice address
13777 Belcher Rd S Ste 300
Largo, FL 33771-4096
Phone
(727) 216-3170
NPI assigned
Aug 27, 2013
Last updated
Mar 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10984 FL Primary

Addresses

Primary practice location

13777 Belcher Rd S Ste 300
Largo, FL 33771-4096

Mailing address

13777 Belcher Rd S Ste 300
Largo, FL 33771-4096
Phone (727) 216-3170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820002778 FL Practitioner - Chiropractic 5294084588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Way Largo LLCGroup PAC ID 9830448125, 2 clinicians

Practice addresses (Care Compare)

13777 Belcher Rd S
Suite 300
Largo, FL 33771-4027
Phone (727) 216-3170

13777 Belcher Rd S
Suite 300
Largo, FL 33771-4096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10984FLMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1801220728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714096",
            "telephone_number": "727-216-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714096",
            "telephone_number": "727-216-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.