Noel Cowart Davis Jr., D.C.

Key facts

NPI

1831212992

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

038-006330 (IL)

Practice address

232 Main St NW
Bourbonnais, IL 60914-1866

Phone

(815) 939-4900

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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.

• Chiropractic Associates of Kankakee Inc Clinic/Center · Manteno, IL · NPI 1649417593
  NPD
• Porter-Starke Services Inc. Federally Qualified Health Center (FQHC) · Gary, IN · NPI 1023485356
  NPD
• Porter-Starke Services Inc. Federally Qualified Health Center (FQHC) · Valparaiso, IN · NPI 1659196236
  NPD
• Porter-Starke Services Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Valparaiso, IN · NPI 1689627598
  NPD
• Nims Chiropractic LTD. Chiropractor · Bourbonnais, IL · NPI 1316805971
  NPD (past) CHIROPRACTOR
• Schramm Family Health Care, Inc. Chiropractor · Atlantic, IA · NPI 1861471468
  NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2014.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1831212992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN ST NW",
            "address_2": "SUITE 201",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141938",
            "telephone_number": "815-939-4900",
            "fax_number": "815-939-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST NW",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141866",
            "telephone_number": "815-939-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOEL",
        "middle_name": "COWART",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05844",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002782002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED ID",
            "identifier": "37-1243600",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0767558",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WELLMARK",
            "identifier": "53643",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "253414",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9484203",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "36-3862007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

• Shawn W. Danahey, O.D.
• Crystal Renee Daniel, MHS, CCC-SLP/L
• Danos Dental, PLLC
• Ajay Das, DDS
• David E Krause MD LTD
• Melanie Joy Dean, RBT
• Elizabeth D. Deck, FNP-BC
• John Raymond Dekker, DC
• Christin Demierre, FNP
• Margaret Denny, PA-C

All providers in Bourbonnais, IL · Chiropractor in Illinois