Organization Active NPI

Summit Chiropractic LLC

  • Primary Care Nurse Practitioner
  • St George, UT
National Provider Identifier
1831626993
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5322635-4405 Issued in UT
Legal business name
SUMMIT CHIROPRACTIC LLC
Practice address
1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone
(435) 862-0125
Fax
(435) 215-7680
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Dr. Orbie Troy Davis, DC
Title
Chiropractor/Owner
Phone
(435) 862-0125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8328842-1202 UT
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 5322635-4405 UT Primary

Addresses

Primary practice location

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212

Mailing address

1397 W Sunset Blvd Ste 109
St George, UT 84770-4212
Phone (435) 862-0125

Other names 1

  • Davis Spine Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170621001381 UT Part B Supplier - Clinic/Group Practice 0941578694 Receives reassigned benefits from 2 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Locations

321 N Mall Dr
Unit H102
St George, UT 84790
Phone (435) 862-0125

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1831626993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-862-0125",
            "fax_number": "435-215-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W SUNSET BLVD STE 109",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704212",
            "telephone_number": "435-862-0125",
            "fax_number": "435-215-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ORBIE",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "435-862-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8328842-1202",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "5322635-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Spine Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.