Organization Active NPI

Orbie Troy Davis

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1962697763
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007078 Issued in GA
Legal business name
ORBIE TROY DAVIS
Practice address
13100 Magisterial Dr
Suite 100
Louisville, KY 40223-4102
Phone
(502) 245-0767
Fax
(502) 245-1380
NPI assigned
Sep 14, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Dana Deyoung
Title
Credentialing Manager
Phone
(502) 245-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007078 GA Primary

Addresses

Primary practice location

13100 Magisterial Dr
Suite 100
Louisville, KY 40223-4102

Mailing address

13100 Magisterial Dr
Suite 100
Louisville, KY 40223-4102
Phone (502) 245-0767

National Provider Directory

National Provider Directory

Locations

510 S Main St
Ste B
Baxley, GA 31513
Phone (912) 366-9185

13100 Magisterial Dr
Ste 100
Louisville, KY 40223
Phone (502) 245-0767

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1962697763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MAGISTERIAL DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234102",
            "telephone_number": "502-245-0767",
            "fax_number": "502-245-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MAGISTERIAL DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234102",
            "telephone_number": "502-245-0767",
            "fax_number": "502-245-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBIE TROY DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-245-0767"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.