LOREN DAVIS (NPI# 1891917795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891917795 |
| Entity Type | Individual |
| Full Name | LOREN DAVIS |
| Credential | D.C. |
| Practice Address |
16622 W. 159th St. Suite 500 Lockport IL 60441-8015 |
| Practice Telephone | 8158387746 |
| Practice Fax Number | 8158385090 |
| Mailing Telephone | 8158387746 |
| Mailing Fax Number | 8158385090 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038008320 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | P00864465 | 01 | |
| BLUE CROSS BLUE SHIELD | 9932868 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285835330 | Loren Marie Davis | Counselor | 769 W Blaine St, Suite A, Riverside, CA 92507-3970 | 2007-05-29 |
| 1760464747 | Loren Brantley Davis | Dentist | 4540 Sand Point Way Ne, #340, Seattle, WA 98105-3941 | 2005-11-16 |
| Street Address |
16622 W. 159TH ST. SUITE 500 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| 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 |
|---|---|---|---|---|
| 1730730037 | Derrick James Mcaninch | Chiropractor | 6933 Tonawanda Creek Rd, Lockport, NY 14094-7959 | 2019-09-27 |
| 1275015646 | Jordan Adam Kurbs | Chiropractor | 741 Davison Rd., Lockport, NY 14094-5214 | 2018-09-03 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1962724088 | Amna P Riches | Chiropractor | 5854 Snyder Drive, Suite A, Lockport, NY 14094 | 2010-02-16 |
| 1982936357 | Amanda Erin Domm | Chiropractor | 5854 Snyder Dr, Lockport, NY 14094-9497 | 2010-02-09 |
| 1487884037 | Geoffrey James Klaffka | Chiropractor | 6332 S Transit Rd, Lockport, NY 14094-6336 | 2009-07-16 |
| 1801030713 | Joseph Family Chiropractic, Pllc | Chiropractor | 6513 Campbell Blvd, Lockport, NY 14094-9210 | 2009-04-22 |
| 1528207636 | Stephen Mahalik Dc Ltd | Chiropractor | 515 S State St, Lockport, IL 60441-3032 | 2009-02-12 |
| 1811031396 | Kenneth P. Kurbs | Chiropractor | 126 Professional Pkwy, Lockport, NY 14094-5368 | 2007-02-16 |
| Find all providers in LOCKPORT | ||||
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| 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.