Dr. Mary Nelle J. Dotson,, LLC

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

Last updated

Jul 20, 2018By the provider in NPPES

Organization subpart

No

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.NPI 1669773917

Title

Ceo

Phone

(863) 660-0038

Specialties & licenses 1

Addresses

Other names 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Nelle James Dotson, D.C.

  • Chiropractor
  • Lakeland, FL
  • NPI 1669773917
  Authorized official Same address or phone

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"
        }
    ]
}

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• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• 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.