NATHAN E. DAVIDSON (NPI# 1760548085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760548085 |
| Entity Type | Individual |
| Full Name | NATHAN E. DAVIDSON |
| Credential | DC |
| Practice Address |
670 Humboldt Drive Big Lake MN 55309 |
| Mailing Address |
Po 88 Big Lake MN 55309 |
| Practice Telephone | 7632638433 |
| Practice Fax Number | 7632632963 |
| Mailing Telephone | 7632638433 |
| Mailing Fax Number | 7632632963 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3099 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PATIENT CHOICE | 53159888 | 01 |
| MN | WAUSAU | 53159888 | 01 |
| MN | BLUE CROSS | 59B57N0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700952082 | Nathan Smith Davidson II | Nurse Practitioner | 2 Pidgeon Hill Drive, Suite 400, Sterling, VA 20165 | 2006-11-28 |
| 1356970933 | Nathan Davidson | Student in an Organized Health Care Education/Training Program | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2020-04-05 |
| 1093236127 | Nathan Lee Davidson | General Practice | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2017-06-28 |
| 1447796099 | Nathan Davidson | Physician Assistant | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2017-01-06 |
| 1447605498 | Nathan Carl Davidson | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2016-04-27 |
| 1679763247 | Nathan E Davidson | Specialist | 812 39th Ave Sw, Suite D, Puyallup, WA 98373-5915 | 2007-07-30 |
| Street Address |
670 HUMBOLDT DRIVE |
| City | BIG LAKE |
| State | MN |
| Zip Code | 55309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295944692 | Sylvia Kooyman Nelson | Massage Therapist | 670 Humboldt Drive, Big Lake, MN 55309 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
| 1629589544 | Pdg, Pa | Clinic/Center | 16991 198th Ave Nw, Big Lake, MN 55309 | 2017-10-18 |
| 1669821765 | Laura Ann Dill | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309 | 2016-06-09 |
| 1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1760704712 | Mary Ellen Venzke | Adult Companion | 19729 183rd Avenue, Big Lake, MN 55309 | 2010-02-18 |
| 1174700611 | Country Services Inc | Case Management | 641 Park Ave E, Big Lake, MN 55309 | 2008-01-28 |
| 1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
| 1336367242 | Family Prospective Resources, Inc | Marriage & Family Therapist | 35 Lake St So, Big Lake, MN 55309 | 2007-04-23 |
| 1598983470 | Jennifer Ann Lawrence | Marriage & Family Therapist | 35 Lake Street South #200, Big Lake, MN 55309 | 2007-04-23 |
| Find all providers in zip 55309 | ||||
| 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 |
|---|---|---|---|---|
| 1629388533 | Northstar Chiropractic & Wellness, P. A. | Chiropractor | 670 Humboldt Dr, Big Lake, MN 55309-9407 | 2010-10-13 |
| 1013047117 | Arctic Chiropractic West Mat-su, LLC | Chiropractor | Mile 51 George Parks Hwy, #2, Big Lake, AK 99652 | 2007-03-07 |
| 1639264757 | Gregory Thomas Smock | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2006-10-04 |
| 1376654673 | Tony Roy Smith | Chiropractor | 905 N Main Ave, Big Lake, TX 76932-3201 | 2006-08-31 |
| 1457539827 | Chad David Lieser | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2008-02-07 |
| 1548466113 | Christopher James Slice | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NATHAN E. DAVIDSON.
| 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.