Davis Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5276 Issued in KY

Legal business name

DAVIS CHIROPRACTIC LLC

Practice address

604 Ogden St Ste 202
Somerset, KY 42501-1718

Phone

(606) 679-1991

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Wade Davis, DCNPI 1619272598

Title

Sole Member

Phone

(606) 679-1991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wade Allen Davis, D.C.

  • Chiropractor
  • Somerset, KY
  • NPI 1619272598
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902314792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S HIGHWAY 27 STE 5-315",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013501",
            "telephone_number": "606-679-1991",
            "fax_number": "606-679-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OGDEN ST STE 202",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011718",
            "telephone_number": "606-679-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Richmond ST",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "40456",
            "country_code": "US",
            "telephone_number": "606-392-2110",
            "fax_number": "606-392-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "606-679-1991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Daugherty, APRN
• Hope R Daugherty
• David a Weber MD PLLC NP
• David a. Weber, MD, PLLC
• David M. Eads, O.D. & Associates, PSC
• Abigail Davis, M.A.
• Amanda Kay Davis, NCC, LPCA
• Brandy Lee Davis
• Ginger Lee Davis, SLP
• Jennifer Davis

• Chiropractor in Somerset, KY
• Providers in Somerset, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.