Adam Lee Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002239A Issued in IN

Practice address

6301 N Keystone Ave
Indianapolis, IN 46220-6026

Phone

(317) 257-2225

Fax

(317) 257-0646

NPI assigned

May 5, 2006

Last updated

Jan 31, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Healthcare, LLCGroup PAC ID 8921241662, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sunrisehealthcare.adam.davis@161255.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Healthcare, LLC

  • Adult Health Nurse Practitioner
  • Seymour, IN
  • NPI 1487094223
  Medicare reassignment Care Compare group NPD
• Glendale Advanced Health, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1992311104
  NPD
• Street Chiropractic PC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1023985256
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1992753339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206026",
            "telephone_number": "317-257-2225",
            "fax_number": "317-257-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206026",
            "telephone_number": "317-257-2225",
            "fax_number": "317-257-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002239A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200803260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davis Mintun Professional Services Inc
• Lisa M Davis Peck, LMHC, LMFT
• Sequanda Nicole Davis-Bond
• Cheryl Davis-Land, ANP
• Robin C Davis-Reed, LCSW
• Aimee Davis
• Aisha N Davis, MD
• Alexis A Davis, LCSW
• Alexys Parker Davis
• Alishia June Davis, BOARD CERTIFIED BEHA

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.