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T. R. DAVIS D.C. INC.
NPI 1073890034
Clinic/Center in Ontario, OH

Active since November 04, 2011
1805 PARK AVE W, ONTARIO, OH 44906(419) 529-6600(419) 529-4677 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About T. R. Davis D.c. Inc. NPPES

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

T. R. DAVIS D.C. INC. (NPI 1073890034) is a healthcare organization registered as a clinic/center in Ontario, Ohio and active in the NPI registry since November 2011. The organization lists Timothy Roger Davis, President, as its authorized official.

NPPES Registry Identity

NPI1073890034
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameT. R. DAVIS D.C. INC.
Location Address1805 PARK AVE WOntario, OH 44906-2229
Mailing Address1805 Park Ave WOntario, OH 44906-2229 · (419) 529-6600 · Fax (419) 529-4677
Phone(419) 529-6600
Fax(419) 529-4677
Organization SubpartNo
Authorized OfficialTimothy Roger DavisPresident · (419) 529-6600
Enumeration DateNovember 4, 2011
✔ NPI 1073890034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OH · 712
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1805 PARK AVE W, Ontario, OH 44906
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0454042OH

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

T. R. Davis D.c. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to T. R. Davis D.C. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Davis, DC
Chiropractic
NPI 1477629319
1805 PARK AVENUE WEST
Mansfield, OH 44906
(419) 529-6600
Same address

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

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 T. R. Davis D.C. Inc.'s NPI number?

The NPI number for T. R. Davis D.C. Inc. is 1073890034. It was assigned to this organization in the NPPES registry on November 4, 2011.

Where is T. R. Davis D.C. Inc. located?

T. R. Davis D.C. Inc. is located at 1805 Park Ave W, Ontario, OH 44906. The listed phone number is (419) 529-6600.

What is T. R. Davis D.C. Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is T. R. Davis D.C. Inc. enrolled in Medicare?

Yes. T. R. Davis D.C. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through T. R. Davis D.C. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to T. R. Davis D.C. Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for T. R. Davis D.C. Inc. was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.