Active NPI
Marjorie Jean Davis, D.C.
- Chiropractor
- West Springfield, MA
National Provider Identifier
1952452906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2308
- Practice address
- 900 Elm St
West Springfield, MA 01089-2659 - Phone
- (413) 788-8900
- Fax
- (413) 788-8900
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2308 | MA | Primary |
Addresses
Primary practice location
900 Elm St
West Springfield, MA 01089-2659
Mailing address
PO Box 318
West Springfield, MA 01090-0318
Phone (413) 788-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36634 | Other | MA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060419000694 | MA | Practitioner - Chiropractic | 8729097704 | Practice locations: West Springfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 Elm Sreet Floor One
Davis Chiropractic
West Springfield, MA 01089-2665
900 Elm St
FL 1
West Springfield, MA 01089-2665
Phone (413) 788-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2308 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grosso Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- West Springfield, MA
- NPI 1891994158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1952452906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 318",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010900318",
"telephone_number": "413-788-8900",
"fax_number": "413-788-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ELM ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010892659",
"telephone_number": "413-788-8900",
"fax_number": "413-788-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARJORIE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "Y36634",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.