Gregory Roger Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018036900 Issued in MO

Practice address

419A SW Ward Rd
Lees Summit, MO 64081-2448

Phone

(816) 895-1800

Fax

(816) 895-1837

NPI assigned

Mar 26, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Essential Chiropractic LLC

  • Clinic/Center
  • Lees Summit, MO
  • NPI 1366902975
  Medicare reassignment NPD

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1831551043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 99TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144169",
            "telephone_number": "217-825-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419A SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812448",
            "telephone_number": "816-895-1800",
            "fax_number": "816-895-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GREGORY",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012783",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018036900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Richard Davidson, MD
• Katelyn Davies
• Kendra Deanne Davis-Leighty, LCSW
• Camille A Davis, LCSW, LSCSW
• Carl Spencer Davis, M.D.
• Gretchen Davis, FNP-C
• John M. Davis II, M.D.
• Katherine Sydney Davis, FNP-C
• Kayla Michelle Davis, RBT
• Kristin Davis, APN

• Chiropractor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.