Individual provider Active NPI

Dawn Harrell, ATC

  • Chiropractor
  • Humble, TX
National Provider Identifier
1134511884
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15661 Issued in TX
Practice address
20121 W Lake Houston Pkwy Ste 1600
Humble, TX 77346-3548
Phone
(281) 852-8724
Fax
(281) 929-0390
NPI assigned
Mar 4, 2015
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15661 TX Primary
Athletic Trainer 2255A2300X AT2745 TX

Addresses

Primary practice location

20121 W Lake Houston Pkwy Ste 1600
Humble, TX 77346-3548

Mailing address

2814 Foster Hill Dr
Kingwood, TX 77345-2547
Phone (832) 246-2200

Other practice location 1

8735 Aberdeen Palms Dr
Houston, TX 77095-3799
Phone (208) 816-2455

Other names 1

  • Dawn Andrews Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002230 TX Practitioner - Chiropractic 4082061304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Paw ChiropracticGroup PAC ID 4284081506, 2 clinicians

Practice addresses (Care Compare)

20121 W Lake Houston Pkwy
Suite 1600
Humble, TX 77346-3548
Phone (281) 852-8724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15661TXMDChiropractor
AT2745TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Paw Chiropractic CurrentSince Aug 1, 2023 Accepting new patients

Locations

20121 W Lake Houston Pkwy
Ste 1600
Humble, TX 77346
Phone (281) 852-8724

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, 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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1134511884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 FOSTER HILL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452547",
            "telephone_number": "832-246-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 W LAKE HOUSTON PKWY STE 1600",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463548",
            "telephone_number": "281-852-8724",
            "fax_number": "281-929-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8735 Aberdeen Palms Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770953799",
            "country_code": "US",
            "telephone_number": "208-816-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "DAWN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2023-06-30",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15661",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "ANDREWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.

Verify at the official NPI Registry.