Victoria E Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013530 Issued in IN

Practice address

440 W Boughton Rd Ste 102
Bolingbrook, IL 60440-1400

Phone

(630) 759-8989

Fax

(630) 759-8973

NPI assigned

Dec 7, 2020

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1922604875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SUPERIOR CT APT 207",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639270",
            "telephone_number": "828-231-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD STE 102",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401400",
            "telephone_number": "630-759-8989",
            "fax_number": "630-759-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTORIA",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "038013530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.brightlifeclinic.com/",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "440 W Boughton Rd Ste 102",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina Morta David, OTRL
• Sarah Rebecca Davies, MS, ATC/L
• Audrey R. Davis, ED.D., MSW, LCSW
• Katie Davis
• Susan M Davis, ND, FNP-BC
• Nicole Day
• Kristen Deangelis, MHS, CCC-SLP/L
• Ashley Decraene
• Deepa Sridhar P.C
• Abalaine Delapena, PHARM.D.

• Chiropractor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.