Organization Active NPI

Dewar Chiropractic, LLC

  • Sports Physician Chiropractor
  • Canby, OR
National Provider Identifier
1275804171
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3831 Issued in OR
Legal business name
DEWAR CHIROPRACTIC, LLC
Practice address
332 NW 1St Ave
Canby, OR 97013
Phone
(503) 266-0600
Fax
(503) 263-0604
NPI assigned
Jan 24, 2012
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Dr. David Alan Dewar, DCNPI 1053584995
Title
Owner/Chiropractor
Phone
(503) 266-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3831 OR Primary

Addresses

Primary practice location

332 NW 1St Ave
Canby, OR 97013

Mailing address

332 NW 1St Ave
Canby, OR 97013
Phone (503) 266-0600

Other names 1

  • Health Source of Canby Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000157 OR Part B Supplier - Clinic/Group Practice 6709040488 Receives reassigned benefits from 1 practitioner
Practice locations: Canby, OR

National Provider Directory

National Provider Directory

Locations

1385 SE 1st Ave
Ste 102
Canby, OR 97013
Phone (503) 266-0600

332 NW 1st Ave
Canby, OR 97013
Phone (503) 266-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1275804171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-266-0600",
            "fax_number": "503-263-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 NW 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-266-0600",
            "fax_number": "503-263-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWAR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-266-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source of Canby",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.