Individual provider Active NPI

David Alan Dewar, D.C.

  • Chiropractor
  • Canby, OR
National Provider Identifier
1053584995
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3831 Issued in OR
Practice address
1385 1St Ave. Suite 102
Canby, OR 97013-6767
Phone
(503) 266-0600
Fax
(503) 766-5703
NPI assigned
Apr 11, 2008
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3831 OR Primary

Addresses

Primary practice location

1385 1St Ave. Suite 102
Canby, OR 97013-6767

Mailing address

1385 SE 1St Ave. Suite 102
Canby, OR 97013-6767
Phone (503) 266-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000639 OR Practitioner - ChiropracticPractitioner - Sports Medicine 7315119666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

332 NW 1St Ave
Canby, OR 97013-3533
Phone (503) 266-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3831ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dewar Chiropractic, LLC CurrentSince Feb 6, 2012 Accepting new patients
Elite Foot & Ankle Associates LLC Past Accepting new patients

Locations

1385 SE 1st Ave
Ste 102
Canby, OR 97013
Phone (503) 266-0600

332 NW 1st Ave
Canby, OR 97013
Phone (503) 266-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHGCBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1053584995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 SE 1ST AVE. SUITE 102",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136767",
            "telephone_number": "503-266-0600",
            "fax_number": "503-766-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 1ST AVE. SUITE 102",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136767",
            "telephone_number": "503-266-0600",
            "fax_number": "503-766-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAR",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

Verify at the official NPI Registry.