DR. THEODORE W DAVIS D.C.
NPI 1033400510
Chiropractor in Pueblo, CO

Active since May 02, 2011Accepts Medicare Assignment
2505 KACHINA DR, PUEBLO, CO 81008(719) 544-2009(719) 253-7734 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore W Davis D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE W DAVIS D.C. (NPI 1033400510) is an individual chiropractor in Pueblo, Colorado, licensed in Colorado (CHR-6677) and active in the NPI registry since May 2011. He is a graduate of Logan College Of Chiropractic (2011).

NPPES Registry Identity

NPI1033400510
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THEODORE W DAVISCredential: D.C.
Location Address2505 KACHINA DRPueblo, CO 81008-1573
Mailing Address2505 Kachina DrPueblo, CO 81008-1573 · (719) 544-2009 · Fax (719) 253-7734
Fax(719) 253-7734
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2011
Enumeration DateMay 2, 2011
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1033400510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · CHR-6677
Definition
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.
2505 KACHINA DR, Pueblo, CO 81008

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore W Davis D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850562273
PECOS Enrollment IDI20111216000294

Medicare Billing Reassignment

Medicare enrollment records show Theodore Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
2505 KACHINA DR
Pueblo, CO 81008
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
610 services74 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
2505 KACHINA DR
PUEBLO, CO 81008
Massage Therapist
2505 KACHINA DR
PUEBLO, CO 81008
Massage Therapist
2505 KACHINA DR
PUEBLO, CO 81008
Chiropractor
2505 KACHINA DR
PUEBLO, CO 81008
Chiropractor
2505 KACHINA DR
PUEBLO, CO 81008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Davis's NPI number?

The NPI number for Theodore Davis is 1033400510. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Theodore Davis located?

Theodore Davis practices at 2505 Kachina Dr, Pueblo, CO 81008. The listed phone number is (719) 544-2009.

What is Theodore Davis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Theodore Davis enrolled in Medicare?

Yes. Theodore Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theodore Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Davis reassigns Medicare benefits to Center For Alternative Medicine, PLLC (Pueblo, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Davis accept?

Health plans from Providence Health Plan list Theodore Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Davis was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.