Active NPI
Gregg D. Davis D.C.,P.C.
- Chiropractor
- Gold Canyon, AZ
National Provider Identifier
1841546090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5232
- Legal business name
- GREGG D. DAVIS D.C.,P.C.
- Practice address
- 6268 S Kings Ranch Rd
7-A
Gold Canyon, AZ 85118-7353 - Phone
- (480) 220-4567
- NPI assigned
- Jul 25, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Gregg D. Davis, D.C.
- Title
- President
- Phone
- (480) 220-4567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120921000753 | AZ | Part B Supplier - Clinic/Group Practice | 9032367735 |
Receives reassigned benefits from 1 practitioner Practice locations: Gold Canyon, AZ |
National Provider Directory
National Provider DirectoryLocations
6268 S Kings Ranch Rd
Gold Canyon, AZ 85118
6268 S Kings Ranch Rd
Ste 7A
Gold Canyon, AZ 85118
Phone (480) 205-6951
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5232 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6268 S Kings Ranch Rd
7-A
Gold Canyon, AZ 85118-7353
Mailing address
6268 S Kings Ranch Rd
7-A
Gold Canyon, AZ 85118-7353
Phone (480) 220-4567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2012.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1841546090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6268 S KINGS RANCH RD",
"address_2": "7-A",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187353",
"telephone_number": "480-220-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6268 S KINGS RANCH RD",
"address_2": "7-A",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187353",
"telephone_number": "480-220-4567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGG D. DAVIS D.C.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-220-4567",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AZ",
"license": "5232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.