Keith W Davis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8635 Issued in AZ

Practice address

815 E Baseline Rd Ste 106
Tempe, AZ 85283-1572

Phone

(480) 777-5130

NPI assigned

Oct 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Palmer College Chiropractic - West Sunnyvale, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chiropure Spine & Injury

  • Chiropractor
  • Tempe, AZ
  • NPI 1487260436
  Medicare reassignment NPD Authorized official
• Sheitelman Medical PLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1508139429
  Medicare reassignment NPD
• Sheitelman Chiropractic Inc

  • Chiropractor
  • Surprise, AZ
  • NPI 1144373978
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1982115036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E BASELINE RD STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831572",
            "telephone_number": "480-777-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E BASELINE RD STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831572",
            "telephone_number": "480-777-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEITH",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tempeshops@thejoint.com",
            "affiliation": "N",
            "address_1": "815 E Baseline Rd Ste 106",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852831572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cheryl H. Davis, M.A. CCC-SLP
• Christine Davis, RN
• Claudia Davis, R. N.
• Emily Davis, BCBA
• Jair Julian Davis, PT
• Pamela Rae Davis, LMT
• Patti-Jo Davis, RNP, LPC
• Sylvia Theresa Davis, O.D.
• Tresa A Davis, LPC
• Yadira Davis, LCSW

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.