Davidson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVIDSON CHIROPRACTIC LLC

Practice address

1309 W Creekside Dr
Brandon, SD 57005-2640

Phone

(605) 310-2544

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Theodore Edward Davidson, DCNPI 1871863803

Title

Owner

Phone

(605) 310-2544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

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

• Theodore Edward Davidson, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1871863803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1821800525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W CREEKSIDE DR",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W CREEKSIDE DR",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052640",
            "telephone_number": "605-310-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-310-2544",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirosport Brandon, PC
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• Linne Y. Curtis Bayt, M.D.
• David Fitzgerald Ward DC
• Katherine Davidson, ED.S.
• Andrew De Noble, DPT
• Taylor Delker
• Phillip Myles Dixon, DC
• Deanne Donaway, PHD, APRN-CNP

• Chiropractor in Brandon, SD
• Providers in Brandon, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.