Active NPI
Summit Chiropractic LLC
- Primary Care Nurse Practitioner
- St George, UT
National Provider Identifier
1831626993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5322635-4405
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8328842-1202 | UT | |
| Primary Care Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- St George, UT
- NPI 1053453191
-
- Family Health Clinical Nurse Specialist
- St George, UT
- NPI 1083969455
-
- Massage Therapist
- Washington, UT
- NPI 1689188799
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.