Richard Kearns Davis Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1387 Issued in NC

Practice address

408 1St Ave S
Conover, NC 28613-2704

Phone

(828) 464-7791

Fax

(828) 465-4062

NPI assigned

Feb 8, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conover Chiropractic Center PAGroup PAC ID 6002844628, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Conover Chiropractic Center PA

  • Orthopedic Chiropractor
  • Conover, NC
  • NPI 1609976497
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1962475368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 1ST AVE S",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132704",
            "telephone_number": "828-464-7791",
            "fax_number": "828-465-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 1ST AVE S",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132704",
            "telephone_number": "828-464-7791",
            "fax_number": "828-465-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "KEARNS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1387",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908341",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crown Health Care (Conover Family Practice)
• Crown Health Care PA
• Melissa Cruz-Nava, LCMHC
• Cyrus Max Inc (Heritage Place II)
• Brittany Nicole Davis, OTR/L
• Sheree Burgess Dixon, OTR
• DLP Central Carolina Physician Practices LLC (Fryecare Urgent Care - Conover)
• DLP Frye Medical Group LLC (FryeCare Urgent Care Conover)
• DLP Graystone Family Practice Associates LLC
• Julie M Dollar, MA, LCMHC

• Chiropractor in Conover, NC
• Providers in Conover, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.