NPI Code Detail JSON Logo

1053883793 NPI number — LESLIE ANNE DAVIS D.C.

NPI Number: 1053883793
Health Care Provider/Practitioner: LESLIE ANNE DAVIS D.C.

Information about “1053883793” NPI (LESLIE ANNE DAVIS D.C.) exists in 1053883793 in HTML format HTML  |  1053883793 in plain Text format TXT  |  1053883793 in PDF (Portable Document Format) PDF  |  1053883793 in an XML format XML  formats.

NPI Number : 1053883793 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053883793",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "LESLIE",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARWICK",
    "OtherFirstName": "LESLIE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "D.C.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7153 N SPURWING RIM PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERIDIAN",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83646-4003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-861-6327",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1326 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MERIDIAN",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83642-1703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-861-6327",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2018",
    "LastUpdateDate": "05/10/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "CHIA-1873",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.