Individual provider Active NPI

Michael Alan Davenport, D.C.

  • Chiropractor
  • Humble, TX
National Provider Identifier
1851389092
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7122 Issued in TX
Practice address
7114 FM 1960 Rd E
Humble, TX 77346-2702
Phone
(281) 852-2424
Fax
(281) 852-1071
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7122 TX Primary

Addresses

Primary practice location

7114 FM 1960 Rd E
Humble, TX 77346-2702

Mailing address

7114 FM 1960 Rd E
Humble, TX 77346-2702
Phone (281) 852-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000529 TX Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4082754015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7114 FM 1960
Humble, TX 77346-2702
Phone (281) 852-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7122TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davenport Chiropractic, Inc. Chiropractor CurrentSince Jul 19, 2009 Accepting new patients
North Lake Houston Chiropractic Center, Inc. Chiropractor Past Accepting new patients

Locations

7114 FM 1960 Rd E
Humble, TX 77346
Phone (281) 852-2424

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851389092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462702",
            "telephone_number": "281-852-2424",
            "fax_number": "281-852-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462702",
            "telephone_number": "281-852-2424",
            "fax_number": "281-852-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.