DR. KIMBERLY DAVIS D.C.
NPI 1407053846
Chiropractor in Philadelphia, PA

Q: What is Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1407053846. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Kimberly Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since June 29, 2007

2432 S BROAD ST, PHILADELPHIA, PA 19145(484) 684-1445 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Kimberly Davis D.c. NPPES

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

DR. KIMBERLY DAVIS D.C. (NPI 1407053846) is an individual chiropractor in Philadelphia, Pennsylvania, licensed in Pennsylvania (DC009134) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1407053846

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. KIMBERLY DAVISCredential: D.C.

Location Address2432 S BROAD STPhiladelphia, PA 19145-4418

Mailing Address2432 S Broad StPhiladelphia, PA 19145-4418 · (484) 684-1445

Phone(484) 684-1445

Sole ProprietorYes

Enumeration DateJune 29, 2007

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1407053846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in PA · DC009134

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.

2432 S BROAD ST, Philadelphia, PA 19145

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Davis D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Bounce Back Chiropractic LLC

Same address

Chiropractor

2432 S BROAD ST
Philadelphia, PA 19145

Reassigned Medicare billing, Pennsylvania enrollment

NPI 1942834270 (484) 684-1445

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

Other Providers at the Same Location NPPES 3

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

DR. DENISE T D'ADAMO D.C.

Chiropractor

2432 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 468-2999

DENISE T. D'ADAMO D.C., P.C.

Chiropractor

2432 S BROAD ST, 1ST FLOOR
PHILADELPHIA, PA 19145

Philadelphia County (215) 468-2999

BOUNCE BACK CHIROPRACTIC LLC

Chiropractor

2432 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (484) 684-1445

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1407053846. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Kimberly Davis located?

Kimberly Davis practices at 2432 S Broad St, Philadelphia, PA 19145. The listed phone number is (484) 684-1445.

What is Kimberly Davis's specialty?

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

Is Kimberly Davis enrolled in Medicare?

Yes. Kimberly Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Davis reassigns Medicare benefits to Bounce Back Chiropractic LLC (Philadelphia, PA). 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 Kimberly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Davis accept?

Health plans from Providence Health Plan list Kimberly 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 Kimberly Davis was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.