Organization Active NPI

Dawson Family Chiropractic Practice

Doing business as Marshall Chiropractic Life Center

  • Chiropractor
  • Marshall, MI
National Provider Identifier
1043764558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAWSON FAMILY CHIROPRACTIC PRACTICE
Doing business as
Marshall Chiropractic Life Center
Practice address
1170 W Michigan Ave
Marshall, MI 49068-8545
Phone
(269) 781-7000
Fax
(269) 781-2522
NPI assigned
Aug 12, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brent Dawson, DC
Title
Owner
Phone
(269) 781-7000

Specialties & licenses 1

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

Addresses

Primary practice location

1170 W Michigan Ave
Marshall, MI 49068-8545

Mailing address

1170 W Michigan Ave
Marshall, MI 49068-8545
Phone (269) 781-7000

Other names 1

  • Marshall Chiropractic Life Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160912002355 MI Part B Supplier - Clinic/Group Practice 6103112420 Receives reassigned benefits from 4 practitioners
Practice locations: Battle Creek, MI; Marshall, MI

National Provider Directory

National Provider Directory

Locations

395 S Shore Dr
Ste 203
Battle Creek, MI 49014
Phone (269) 968-2060

1170 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-4700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043764558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688545",
            "telephone_number": "269-781-7000",
            "fax_number": "269-781-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688545",
            "telephone_number": "269-781-7000",
            "fax_number": "269-781-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON FAMILY CHIROPRACTIC PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-7000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.