Individual provider Active NPI

Jesse Davis, D.C.

  • Chiropractor
  • Melrose, MA
National Provider Identifier
1861587370
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3073 Issued in MA
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

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20130103000003 MA Practitioner - Chiropractic 4082867874 Reassigns benefits to 1 organization
Practice locations: Melrose, MA

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

LicenseStateTypeSpecialty
3073MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dcom, Inc. CurrentSince Aug 31, 2024 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.

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.

Verify at the official NPI Registry.