Active NPI
Jesse Davis, D.C.
- Chiropractor
- Melrose, MA
National Provider Identifier
1861587370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3073
- Practice address
- 11 E Emerson St
Melrose, MA 02176-3520 - Phone
- (781) 288-5488
- Fax
- (888) 410-8287
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3073 | MA | Primary |
Addresses
Primary practice location
11 E Emerson St
Melrose, MA 02176-3520
Mailing address
11 E Emerson St
Melrose, MA 02176-3520
Phone (978) 473-2611
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://jessedavischiro.janeapp.com/admin | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11 E Emerson St
Melrose, MA 02176-3520
Phone (888) 547-8784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3073 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dcom, Inc. | Current | Accepting new patients | |
| Franson Family Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
11 E Emerson St
Melrose, MA 02176
Phone (888) 547-8784
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.
-
- Primary Care Clinic/Center
- Melrose, MA
- NPI 1548946825
-
- Chiropractor
- Beverly, MA
- NPI 1194871624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1861587370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E EMERSON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763520",
"telephone_number": "978-473-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E EMERSON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763520",
"telephone_number": "781-288-5488",
"fax_number": "888-410-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3073",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://jessedavischiro.janeapp.com/admin",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Web",
"address_1": "11 E Emerson St",
"city": "Melrose",
"state": "MA",
"country_code": "US",
"postal_code": "021763520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.