Jennifer L Davis, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104556804 Issued in VA

Practice address

4641 Montgomery Ave Ste 404
Bethesda, MD 20814-3431

Phone

(240) 670-0081

Fax

(240) 858-6197

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kaizen Chiropractic LLC

  • Sports Physician Chiropractor
  • Bethesda, MD
  • NPI 1356997530
  NPD Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1962723304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 POWDER MILL ROAD",
            "address_2": "SUITE 101",
            "city": "CALVERTON",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "301-444-4890",
            "fax_number": "301-444-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 MONTGOMERY AVE STE 404",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143431",
            "telephone_number": "240-670-0081",
            "fax_number": "240-858-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "03621",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03621",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104556804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Davis, MD
• Christopher J. Davis, L.C.S.W.
• Daniel William Davis II, D.O.
• Ellen Claire Davis
• Irv Myron Davis, D.D.S
• Jenny Davis
• Joseph Stewart Davis, CRNA
• Joshua William Davis
• Michelle Nicole Davis
• Narda Davis, PA

• Rehabilitation Chiropractor in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.