DAVIS CHIROPRACTIC, P.A. (NPI# 1124225354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124225354 |
| Entity Type | Organization |
| Organization Name | DAVIS CHIROPRACTIC, P.A. |
| Practice Address |
330 Prairie Center Drive 210 Eden Prairie MN 55344 |
| Mailing Address |
689 Williams Way Vernon Hills IL 60061-3254 |
| Practice Telephone | 6125011036 |
| Mailing Telephone | 6123867920 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RANDALL EVAN DAVIS (CEO) |
| Authorized Official Telephone | 6123867920 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2642 | MN | Chiropractic Providers |
| Street Address |
330 PRAIRIE CENTER DRIVE 210 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| 1467071548 | Brittnei Scott | Chiropractor | 11985 Technology Dr, Eden Prairie, MN 55344-3612 | 2020-04-09 |
| 1558840595 | Vital Elements Healing Center LLC | Chiropractor | 9975 Valley View Rd, Eden Prairie, MN 55344-3526 | 2018-08-10 |
| 1477030278 | Josie Christine Runyan | Chiropractor | 9975 Valley View Rd Ste M, Eden Prairie, MN 55344-3526 | 2018-07-24 |
| 1467998955 | Alexander Robert Sundin | Chiropractor | 800 Prairie Center Dr Ste 200, Eden Prairie, MN 55344-7306 | 2017-01-09 |
| 1669821195 | Renato Bevanda | Chiropractor | 966 Prairie Center Dr, Eden Prairie, MN 55344-7304 | 2016-06-06 |
| 1205294634 | Daniel Sowada | Chiropractor | 12300 Singletree Ln Ste 200, Eden Prairie, MN 55344-7964 | 2016-01-30 |
| 1225402837 | Sarah Radichel | Chiropractor | 8080 Eden Rd Apt 453, Eden Prairie, MN 55344-7605 | 2015-11-19 |
| 1598187981 | Jessica Donaldson | Chiropractor | 6545 Flying Cloud Dr, Suite 100, Eden Prairie, MN 55344-3303 | 2014-01-20 |
| 1366884900 | Healthsource of Edina, Pllc | Chiropractor | 15670 Michele Ln, Eden Prairie, MN 55346-2518 | 2013-07-24 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on DAVIS CHIROPRACTIC, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.