Organization Active NPI

Dr. Mary Nelle J. Dotson,, LLC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1003294497
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10145 Issued in FL
Legal business name
DR. MARY NELLE J. DOTSON,, LLC
Practice address
625 Commerce Dr Ste 102
Lakeland, FL 33813-2733
Phone
(863) 660-0038
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Dr. Mary Nelle James Dotson, D.C.
Title
Ceo
Phone
(863) 660-0038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10145 FL Primary

Addresses

Primary practice location

625 Commerce Dr Ste 102
Lakeland, FL 33813-2733

Mailing address

625 Commerce Dr Ste 102
Lakeland, FL 33813-2733
Phone (863) 660-0038

Other names 1

  • Dr. Mary Nelle James, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

304 Doris Dr
Lakeland, FL 33813
Phone (863) 660-0038

625 Commerce Dr
Ste 102
Lakeland, FL 33813
Phone (863) 660-0038

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1003294497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 102",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132733",
            "telephone_number": "863-660-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 102",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132733",
            "telephone_number": "863-660-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARY NELLE J. DOTSON,, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "NELLE JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-660-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Mary Nelle James, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.