Tamara Deshaun Maxwell Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14850 Issued in TX

Practice address

13612 Midway Rd
Farmers Branch, TX 75244-4308

Phone

(972) 661-1922

NPI assigned

Aug 26, 2021

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1902573975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 SUPERIOR DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331030",
            "telephone_number": "214-843-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13612 MIDWAY RD",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444308",
            "telephone_number": "972-661-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL DAVIS",
        "first_name": "TAMARA",
        "middle_name": "DESHAUN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "Y",
            "affiliationName": "Rejuvenating Chiropractic",
            "address_1": "13612 Midway Rd",
            "city": "Farmers Branch",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752444308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.