CLAYTON DIRK DAVIS (NPI# 1992784458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992784458 |
| Entity Type | Individual |
| Full Name | CLAYTON DIRK DAVIS |
| Credential | DC |
| Practice Address |
201 East Main St Walnut Ridge AR 72476 |
| Mailing Address |
Po Box 307 201 East Main Walnut Ridge AR 72476 |
| Practice Telephone | 8708868711 |
| Practice Fax Number | 8708868712 |
| Mailing Telephone | 8708868711 |
| Mailing Fax Number | 8708868712 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1258 | AR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 126071718 | 05 | |
| AR | ABCBS | 59879 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| 1487641825 | Clayton Davis | Optometrist | 200 N Beltline Dr, Florence, SC 29501-7403 | 2005-09-30 |
| 1164927927 | Clayton Davis | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2018-03-26 |
| 1013438928 | Clayton Cavanaugh Davis | Internal Medicine | 100 15th St Nw, Norton, VA 24273-1616 | 2017-06-30 |
| 1679963102 | Clayton Davis | Dentist | 3473 Satellite Blvd, Suite 102, Duluth, GA 30096-8690 | 2015-02-05 |
| 1699828301 | Clayton Edward Davis | Dentist | 613 Watauga St, Suite E, Kingsport, TN 37660-4429 | 2007-01-18 |
| 1801950274 | Clayton Scott Davis | Physical Therapy Assistant | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2006-12-20 |
| 1205923554 | Clayton H. Davis | Family Medicine | 209 W Spring St, Suite 102, Sylacauga, AL 35150-2973 | 2006-10-06 |
| 1043220775 | Clayton Houston Davis | Family Medicine | 55 Holly Springs Park Dr, Franklin, NC 28734-0719 | 2006-08-08 |
| Street Address |
201 EAST MAIN ST |
| City | WALNUT RIDGE |
| State | AR |
| Zip Code | 72476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113126 | Lauren Felts | Pharmacist | 1405 W Main Suite B, Walnut Ridge, AR 72476 | 2020-04-16 |
| 1033609995 | Misty Dawn Colvey | Specialist/Technologist | 60 W Fulbright Avenue, Walnut Ridge, AR 72476 | 2018-05-16 |
| 1427570803 | Heartline Home Care LLC | Home Health | 329 West Poplar, Walnut Ridge, AR 72476 | 2017-07-07 |
| 1093246035 | Allyson Claire Smith | Case Manager/Care Coordinator | 1425 W Main, Walnut Ridge, AR 72476 | 2017-03-22 |
| 1780134098 | H4l Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 853 Us 63, Walnut Ridge, AR 72476 | 2016-10-11 |
| 1386023943 | Meghon Lanae Mink | Physical Therapist | 200 South Memorial Drive, Walnut Ridge, AR 72476 | 2015-05-28 |
| 1013308436 | Meaghan Danielle Kingston | Nurse Practitioner | 1045 W Main St Ste C, Walnut Ridge, AR 72476 | 2015-02-06 |
| 1962789826 | Amber Fawn Adams | Family Medicine | 402 Sw Larkspur Dr, Walnut Ridge, AR 72476 | 2011-11-07 |
| 1528348760 | Pamela Wilcoxson | Case Manager/Care Coordinator | 1425 West Main, Walnut Ridge, AR 72476 | 2011-08-19 |
| 1184928764 | Lauara Beth Rhein | Case Manager/Care Coordinator | 1425 West Main Street, Walnut Ridge, AR 72476 | 2010-12-22 |
| Find all providers in zip 72476 | ||||
| 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 |
|---|---|---|---|---|
| 1659708568 | Donald C Roe | Chiropractor | 219 Sw 2nd St, Walnut Ridge, AR 72476-2335 | 2013-10-09 |
| 1437227006 | Lawrence County Chiropractic Clinic, Inc. | Chiropractor | 219 Southwest 2nd Street, Walnut Ridge, AR 72476-2335 | 2006-12-01 |
| 1568415362 | Robert L Shackelford | Chiropractor | 219 Sw Second St, Walnut Ridge, AR 72476-2335 | 2006-05-19 |
| 1811182694 | Clayton Dirk Davis | Chiropractor | 201 E Main St, Walnut Ridge, AR 72476-2438 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706363 | Kassie Wiest | Chiropractor | 1855 Mckennon St Ste 300, Conway, AR 72032-2840 | 2020-10-08 |
| 1376159848 | Seh Holdings, Pllc | Chiropractor | 13924 Cantrell Rd Ste C, Little Rock, AR 72223-1508 | 2020-09-21 |
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1225654379 | Miranda Oliver | Chiropractor | 7320 Rogers Ave Ste 25, Fort Smith, AR 72903-4167 | 2020-06-24 |
| 1114543451 | Inman Wellness Solutions Pllc | Chiropractor | 1306 S Caraway Rd Unit B, Jonesboro, AR 72401-4507 | 2020-06-23 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1700426152 | Misty Dawn Tramel | Chiropractor | 1411 Marketplace Dr Ste B, Jonesboro, AR 72401-5232 | 2020-01-14 |
| 1811537129 | Tyler Lee Awe | Chiropractor | 3155 N College Ave Ste 103, Fayetteville, AR 72703-3500 | 2020-01-14 |
| 1780220061 | Chiroflex, LLC | Chiropractor | 131 Hwy 64 W, Beebe, AR 72012-9506 | 2019-11-21 |
| 1982245387 | Aell Spencer Chiropractic Inc | Chiropractor | 3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT RIDGE |
| Zip Code | 72476 |
Please comment or provide details below to improve the information on CLAYTON DIRK DAVIS.
| 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.