Individual provider Active NPI

Taelor Davis

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1881579779
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0106417 Issued in KS
Practice address
3519 Morning Dove Cir
Lawrence, KS 66049-4243
Phone
(316) 992-2639
Fax
(316) 992-2639
NPI assigned
Aug 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0106417 KS Primary

Addresses

Primary practice location

3519 Morning Dove Cir
Lawrence, KS 66049-4243

Mailing address

3519 Morning Dove Cir
Lawrence, KS 66049-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925001478 KS Practitioner - Chiropractic 7416452982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Muscle and Joint Clinic LLCGroup PAC ID 1850629015, 3 clinicians

Practice addresses (Care Compare)

3320 Peterson Rd
Suite 100
Lawrence, KS 66049-1739
Phone (785) 856-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0106417KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Muscle & Joint Clinic LLC Chiropractor CurrentSince Sep 17, 2025 Accepting new patients

Locations

3320 Peterson Rd
Ste 100
Lawrence, KS 66049
Phone (785) 843-3979

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1881579779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 MORNING DOVE CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 MORNING DOVE CIR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494243",
            "telephone_number": "316-992-2639",
            "fax_number": "316-992-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0106417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.