Jacob Dyson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

095459 Issued in IA

Practice address

955 236TH St NE Ste 1
North Liberty, IA 52317-9683

Phone

(319) 213-0497

NPI assigned

Feb 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dyson Chiropractic and Wellness

  • Primary Care Clinic/Center
  • North Liberty, IA
  • NPI 1649826108
  NPD Authorized official

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1104383025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 236TH ST NE STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179683",
            "telephone_number": "319-213-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 236TH ST NE STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179683",
            "telephone_number": "319-213-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 N Center Point Rd",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "IA",
            "postal_code": "522331223",
            "country_code": "US",
            "telephone_number": "319-393-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1562 COOK CIR",
            "address_purpose": "LOCATION",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178008",
            "country_code": "US",
            "telephone_number": "319-358-8999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 22nd Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522411688",
            "country_code": "US",
            "telephone_number": "319-213-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYSON",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-27",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "095459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gregory Drahos, PA-C
• Jason Matthew Drwal, PH. D.
• Amy M Dupont, PA-C
• Alyson Carol Dusdieker, LPT
• Dyson Chiropractic and Wellness
• Thomas P Ebinger, M.D.
• Samira Esam Elbadawi Ebrahim, MD
• Anna Eckholm
• Matthew Ehler, LPT
• Colleen Elin

• Chiropractor in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.