Kenneth Y. Davis D.C.P.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

38MC00160000 Issued in NJ

Legal business name

KENNETH Y. DAVIS D.C.P.C.

Practice address

363 Bloomfield Ave
Suite 2E
Montclair, NJ 07042-3655

Phone

(973) 744-7447

Fax

(973) 744-7449

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Yale Davis, D.C.

Title

President

Phone

(973) 744-7447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1881968444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 BLOOMFIELD AVE",
            "address_2": "SUITE 2E",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423655",
            "telephone_number": "973-744-7447",
            "fax_number": "973-744-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 BLOOMFIELD AVE",
            "address_2": "SUITE 2E",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423655",
            "telephone_number": "973-744-7447",
            "fax_number": "973-744-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH Y. DAVIS D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "YALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-744-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00160000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Ross Keil, R. PH.
• Lydia Nicole Keise, M.D.
• Kaitlin Kelly
• Erika Kendrick, LPC
• Paul Vincent Kennedy, MD
• Amy Kenny
• Davia Kenton, LAC
• Megan J Kera, PA-C
• Shari Shante Kerr, LCSW
• Tayma Kessler

• Nutrition Chiropractor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Nutrition Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.