Dayton Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC7043 Issued in TX

Legal business name

DAYTON CHIROPRACTIC CENTER LLC

Practice address

113 S Main St
Dayton, TX 77535-2547

Phone

(936) 258-2789

NPI assigned

Mar 17, 2008

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bobbie Jo Bennett, D.C.NPI 1992762850

Title

Physician/Owner

Phone

(936) 258-2789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Bobbie Bennett, D.C.

  • Chiropractor
  • Dayton, TX
  • NPI 1992762850
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1346411535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352547",
            "telephone_number": "936-258-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352547",
            "telephone_number": "936-258-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "936-258-2789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC7043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coremedical Supplies LLC
• Erika Monique Cox, FNP-C
• Melinda F Crawford, L.P.C.
• Wanda Crayton
• Crestline One Supplies LLC
• Dayton Dental PLLC (Smile Club)
• Dayton Isd
• Dayton Tarkington Community Center, Inc. (Dayton Tarkington Care Center)
• Daniel Wyatt Deloney
• Dr. Goin and Associates (Calvary Medical Clinic)

• Chiropractor in Dayton, TX
• Providers in Dayton, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.