Active NPI
Marshall Dean Webster, D.C.
- Chiropractor
- Lake City, FL
National Provider Identifier
1003000415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10056
- Practice address
- 1478 SW Sisters Welcome Rd
Lake City, FL 32025-1607 - Phone
- (386) 590-1752
- Fax
- (386) 269-9676
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3177 | SC | |
| Chiropractor | 111N00000X | CHIR008295 | GA | |
| Chiropractor | 111N00000X | CH10056 | FL | Primary |
Addresses
Primary practice location
1478 SW Sisters Welcome Rd
Lake City, FL 32025-1607
Mailing address
1478 SW Sisters Welcome Rd
Lake City, FL 32025-1607
Phone (386) 590-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008295 | GA | MD | Chiropractor |
| 3177 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Brian Gillis P C | Chiropractor | Past | Accepting new patients |
| Perry Chiropractic of Warner Robins, LLC | Chiropractor | Past | Accepting new patients |
| American Chiropractic Specialists, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Warner Robins, GA
- NPI 1164690715
-
- Chiropractor
- Perry, GA
- NPI 1881730042
-
- Chiropractor
- Warner Robins, GA
- NPI 1053966150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1003000415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1478 SW SISTERS WELCOME RD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251607",
"telephone_number": "386-590-1752",
"fax_number": "386-269-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 SW SISTERS WELCOME RD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251607",
"telephone_number": "386-590-1752",
"fax_number": "386-269-9676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "MARSHALL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3177",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008295",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.