Active NPI
Michael H Dawson, D.C.
- Chiropractor
- Indio, CA
National Provider Identifier
1114099199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19750
- Practice address
- 82013 Doctor Carreon Blvd
Suite B
Indio, CA 92201-5832 - Phone
- (760) 775-6966
- Fax
- (760) 342-6882
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC19750 | CA | Primary |
Addresses
Primary practice location
82013 Doctor Carreon Blvd
Suite B
Indio, CA 92201-5832
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC19750 | Other | CA | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
82013 Dr Carreon Blvd
Suite B
Indio, CA 92201-5832
Phone (760) 775-6966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19750 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Chiropractic Corp | Chiropractor | Current | Accepting new patients |
| Dawson Rappe Chiropractic Inc | Past | Accepting new patients |
Locations
15520 Rockfield Blvd
Ste A200
Irvine, CA 92618
15550 Rockfield Blvd
Ste B220
Irvine, CA 92618
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 and National Provider Directory roles.
-
- Chiropractor
- Indio, CA
- NPI 1043409121
-
- Clinic/Center
- Indio, CA
- NPI 1114116670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1114099199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82013 DOCTOR CARREON BLVD",
"address_2": "SUITE B",
"city": "INDIO",
"state": "CA",
"postal_code": "922015832",
"telephone_number": "760-775-6966",
"fax_number": "760-342-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "MICHAEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC19750",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.