Active NPI
Kaitlin Davis, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1861982878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34220
- Practice address
- 2859 El Cajon Blvd # 200
San Diego, CA 92104-1292 - Phone
- (619) 795-1233
- Fax
- (619) 795-1233
- NPI assigned
- May 15, 2018
- Last updated
- May 15, 2018
- Sex
- Female
- 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 | 34220 | CA | Primary |
Addresses
Primary practice location
2859 El Cajon Blvd # 200
San Diego, CA 92104-1292
Mailing address
2360 Casement St
San Diego, CA 92123-3920
Phone (850) 621-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34220 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Bender Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- San Diego, CA
- NPI 1619464344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1861982878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 CASEMENT ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233920",
"telephone_number": "850-621-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 EL CAJON BLVD # 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041292",
"telephone_number": "619-795-1233",
"fax_number": "619-795-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAITLIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.