Dakota Powell Vance, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5392 Issued in NC

Practice address

19924 Jetton Rd Ste 101
Cornelius, NC 28031-8253

Phone

(704) 896-8446

Fax

(704) 896-8495

NPI assigned

Nov 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Lidstrom Ms, DC, PCGroup PAC ID 8921012709, 3 clinicians

Practice addresses (Care Compare)

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.

• Jennifer Lidstrom Ms DC PC

  • Multi-Specialty Clinic/Center
  • Cornelius, NC
  • NPI 1033125240

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1194480053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318253",
            "telephone_number": "704-896-8446",
            "fax_number": "704-896-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19924 JETTON RD STE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318253",
            "telephone_number": "704-896-8446",
            "fax_number": "704-896-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "DAKOTA",
        "middle_name": "POWELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557769",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Family Services
• Griffin Michael Urraro, DPT
• Suzanne C Vacek, PHARMD
• Emily Valentin-Mendez
• Lauren Ann Van Laethem, MA, CBIS, CRC
• Kristen Elizabeth Vance, PA-C
• Sarah Soroosh Vandergoot, FNP
• Linda Vang
• Abbey Vann, LMFTA
• Devon Varney, DO

• Chiropractor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.