NPIMap

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
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

Other identifiers 1

IdentifierTypeStateIssuer
GRP6936OtherGAMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "GRP6936",
            "state": "GA"
        }
    ],
    "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.