Individual provider Active NPI

Marshall Dean Webster, D.C.

  • Chiropractor
  • Lake City, FL
National Provider Identifier
1003000415
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10056 Issued in FL
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

Updated by the provider on Feb 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CHIR008295GAMDChiropractor
3177SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brian Gillis P C Chiropractor PastSince Jan 18, 2008 Accepting new patients
Perry Chiropractic of Warner Robins, LLC Chiropractor PastSince Aug 11, 2019 Accepting new patients
American Chiropractic Specialists, Inc. Chiropractor PastSince May 12, 2008 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.

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.

Verify at the official NPI Registry.