Active NPI
Carl Richard Dollison, D.C.
- Chiropractor
- Cambridge, OH
National Provider Identifier
1134119092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1731
- Practice address
- 500 S 9TH St
Cambridge, OH 43725-2854 - Phone
- (740) 439-9393
- Fax
- (740) 439-9395
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1731 | OH | Primary |
| Neurology Chiropractor | 111NN0400X | 1731 | OH | |
| Radiology Chiropractor | 111NR0200X | 1731 | OH | |
| Orthopedic Chiropractor | 111NX0800X | 1731 | OH |
Addresses
Primary practice location
500 S 9TH St
Cambridge, OH 43725-2854
Mailing address
500 S 9TH St
Cambridge, OH 43725-2854
Phone (740) 439-9393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0975388 | Medicaid | OH | |
| 311410997-00 | Other | OH | OHIO BWC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040730000990 | OH | Practitioner - Chiropractic | 3274503693 | Practice locations: Cambridge, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 S 9TH St
Cambridge, OH 43725-2854
Phone (740) 439-9393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1731 | OH | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dollison Chiropractic Office, LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- Cambridge, OH
- NPI 1255797585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1134119092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S 9TH ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437252854",
"telephone_number": "740-439-9393",
"fax_number": "740-439-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S 9TH ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437252854",
"telephone_number": "740-439-9393",
"fax_number": "740-439-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLISON",
"first_name": "CARL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1731",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OH",
"license": "1731",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "OH",
"license": "1731",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "OH",
"license": "1731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0975388",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BWC",
"identifier": "311410997-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.