John V Dawidowicz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2495 Issued in SC

Practice address

1770 Skylyn Dr
Spartanburg, SC 29307-1045

Phone

(864) 583-8308

Fax

(864) 583-8358

NPI assigned

Dec 22, 2005

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skylyn Wellness Center, Inc.

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1124124185

  Chiropractor

  Medicare reassignment NPD Authorized official
• Skylyn Wellness Center, Inc

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1649659137

  Chiropractor

  NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1295711190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071032",
            "telephone_number": "864-583-8308",
            "fax_number": "864-583-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-583-8308",
            "fax_number": "864-583-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWIDOWICZ",
        "first_name": "JOHN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH324",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2495",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Marshall Davis, MACC, LPC
• Wendell Davis
• Wendy Blackley Davis, LMSW
• Mitchel John Dawes, LPC
• Melissa L Dawicki, M.S., LPC, NCC
• Alexis Dawkins, MSW
• Avis Wheeler Dawkins, MSP, CCC
• Jaqueria Dawkins, BS
• Benjamin Wofford Dawsey Jr., AUD
• Jordan Dawson

• Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.