Active NPI
Dr. Mary Nelle J. Dotson,, LLC
- Chiropractor
- Lakeland, FL
National Provider Identifier
1003294497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10145
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.