NPIMap

Organization Active NPI

Richard E Davis, DC, PLLC

  • Chiropractor
  • West, TX
National Provider Identifier
1972236057
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICHARD E DAVIS, DC, PLLC
Practice address
109 N Reagan St
West, TX 76691-1446
Phone
(806) 290-5208
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Richard Elton Davis, DCNPI 1215553318
Title
Owner
Phone
(254) 826-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

109 N Reagan St
West, TX 76691-1446

Mailing address

PO Box 338
West, TX 76691-0338
Phone (254) 826-3737

Other names 1

  • Mellgren Chiropractic Clinic at West Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220809002458 TX Part B Supplier - Clinic/Group Practice 8820470784 Receives reassigned benefits from 1 practitioner
Practice locations: West, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1972236057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766910338",
            "telephone_number": "254-826-3737",
            "fax_number": "254-826-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N REAGAN ST",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911446",
            "telephone_number": "806-290-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E DAVIS, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ELTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-826-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mellgren Chiropractic Clinic At West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mellgren Chiropractic Clinic at West",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mellgren Chiropractic Clinic at West",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.