Active NPI
Matt Davis, DC
- Chiropractor
- McKinney, TX
National Provider Identifier
1801459904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14081
- Practice address
- 7700 Eldorado Pkwy Ste 100
McKinney, TX 75070-5737 - Phone
- (972) 540-0608
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 14081 | TX | Primary |
Addresses
Primary practice location
7700 Eldorado Pkwy Ste 100
McKinney, TX 75070-5737
Mailing address
5201 Sandstone LN
McKinney, TX 75072-9315
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14081 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform Chiropractic LLC | Past | Accepting new patients |
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": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1801459904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 SANDSTONE LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750729315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 ELDORADO PKWY STE 100",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705737",
"telephone_number": "972-540-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MATT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.