Active NPI
Gary B Davis, D.C.
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1831255736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 176215-1202
- Practice address
- 716 E. 4500 South
Ste. N250
Salt Lake City, UT 84107 - Phone
- (801) 262-8400
- Fax
- (801) 262-5570
- NPI assigned
- Dec 28, 2006
- 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 | 176215-1202 | UT | Primary |
Addresses
Primary practice location
716 E. 4500 South
Ste. N250
Salt Lake City, UT 84107
Mailing address
716 E. 4500 South
Ste. N250
Salt Lake City, UT 84107
Phone (801) 262-8400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176215-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1831255736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E. 4500 SOUTH",
"address_2": "STE. N250",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-262-8400",
"fax_number": "801-262-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E. 4500 SOUTH",
"address_2": "STE. N250",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-262-8400",
"fax_number": "801-262-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GARY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "176215-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.