NPIMap

Organization Active NPI

Davis Neck & Back Pain Center

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1912192550
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28653 Issued in CA
Legal business name
DAVIS NECK & BACK PAIN CENTER
Practice address
32605 US Highway 79 S Ste 210
Temecula, CA 92592-6839
Phone
(951) 693-5145
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Glenda DavisNPI 1023186780
Title
President
Phone
(951) 693-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 28653 CA Primary

Addresses

Primary practice location

32605 US Highway 79 S Ste 210
Temecula, CA 92592-6839

Mailing address

32605 US Hwy 79 S Ste 210
Temecula, CA 92592-6839
Phone (951) 693-5145

National Provider Directory

National Provider Directory

Locations

32605 US Highway 79
Ste 210
Temecula, CA 92592
Phone (951) 693-5145

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1912192550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 US HWY 79 S STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "951-693-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 US HIGHWAY 79 S STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "951-693-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS NECK & BACK PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-693-5145"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.