Individual provider Active NPI

Craig Richard Dawson, D.C.

  • Chiropractor
  • Draper, UT
National Provider Identifier
1194061713
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4729461-1202 Issued in UT
Practice address
11620 S State St Ste 1401
Draper, UT 84020-7124
Phone
(801) 561-8000
Fax
(801) 567-3086
NPI assigned
Dec 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4729461-1202 UT Primary

Addresses

Primary practice location

11620 S State St Ste 1401
Draper, UT 84020-7124

Mailing address

11620 S State St Ste 1401
Draper, UT 84020-7124
Phone (801) 561-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000331 UT Practitioner - Chiropractic 4880837905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11620 S State St
Suite 1401
Draper, UT 84020-7124
Phone (801) 561-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4729461-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Spinal Care PLLC Chiropractor CurrentSince Jul 1, 2013 Accepting new patients

Locations

11620 S State St
Ste 1401
Draper, UT 84020
Phone (801) 561-8000

11650 S State St
Ste 225
Draper, UT 84020
Phone (801) 561-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1194061713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 S STATE ST STE 1401",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207124",
            "telephone_number": "801-561-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 S STATE ST STE 1401",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207124",
            "telephone_number": "801-561-8000",
            "fax_number": "801-567-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "CRAIG",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-31",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4729461-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.