Davenport Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DAVENPORT CHIROPRACTIC CLINIC LLC

Doing business as

Davenport Chiropractic Clinic

Practice address

714 Dewar Dr
Rock Springs, WY 82901-5911

Phone

(307) 382-0667

Fax

(307) 382-0668

NPI assigned

Mar 24, 2022

Last updated

May 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Poulsen

Title

Office Manager

Phone

(307) 350-0413

Specialties & licenses 1

Addresses

Other names 1

• Davenport Chiropractic Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan J. Davenport, D.C.

  • Chiropractor
  • Rock Springs, WY
  • NPI 1003956442
  NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1831849959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 DEWAR DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015911",
            "telephone_number": "307-382-0667",
            "fax_number": "307-382-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DEWAR DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015911",
            "telephone_number": "307-382-0667",
            "fax_number": "307-382-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "307-350-0413"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davenport Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wallace M Curry Jr., M.D.
• Kimberly Renae Cutler
• Sandra Ann Da Rif
• Melanie Renee Daley, PHARMD
• David R Dansie, DO
• Alan J. Davenport, D.C.
• Davidson Chiropractic Clinic, Inc.
• Chloe Alexis Davidson, DMD
• Christopher W Davidson, D.D.S.
• Michael A Davidson, D.C.

• Chiropractor in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.