Theodore Edward Davidson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1205 Issued in SD

Practice address

3704 S Westport Ave
Sioux Falls, SD 57106-6324

Phone

(605) 789-3635

Fax

(605) 385-0025

NPI assigned

Jan 6, 2012

Last updated

May 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Davidson Chiropractic LLC

  • Chiropractor
  • Brandon, SD
  • NPI 1821800525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1871863803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 S WESTPORT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066324",
            "telephone_number": "605-789-3635",
            "fax_number": "605-385-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 S WESTPORT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571066324",
            "telephone_number": "605-789-3635",
            "fax_number": "605-385-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "THEODORE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Daughters
• Alicia Daum, PA-C
• Alexa Dautcehajic
• David R Bolton DDS
• Gerard Roque David, MD
• Andrew Arnold Davies, CNP
• Kaitlin Davies
• Davis Chiropractic Clinic (Complete Chiropractic)
• Davis Independent OBGYN Care, PLLC
• Laura A Davis Keppen, MD

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.