Individual provider Active NPI

Jared D Davis, D.C.

  • Chiropractor
  • Saratoga Springs, UT
National Provider Identifier
1942530399
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
375615-1202 Issued in UT
Practice address
1305 N Commerce Dr Ste 200
Saratoga Springs, UT 84045-5310
Phone
(385) 287-7762
Fax
(385) 352-7187
NPI assigned
Jan 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 375615-1202 UT Primary
Chiropractor 111N00000X 3985 OR

Addresses

Primary practice location

1305 N Commerce Dr Ste 200
Saratoga Springs, UT 84045-5310

Mailing address

1305 N Commerce Dr Ste 200
Saratoga Springs, UT 84045-5310
Phone (541) 702-6938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3985ORMDClinical Social Worker
375615-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Chiropractic Chiropractor Current Accepting new patients

Locations

1305 N Commerce Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 753-8481

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1942530399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455310",
            "telephone_number": "541-702-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N COMMERCE DR STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455310",
            "telephone_number": "385-287-7762",
            "fax_number": "385-352-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JARED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "375615-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.