Dr. Dawn a. Smith, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3969-012 Issued in WI

Legal business name

DR. DAWN A. SMITH, S.C.

Practice address

807 16TH St
Brodhead, WI 53520-1744

Phone

(608) 897-3080

Fax

(608) 897-4353

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By 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. Dawn A Smith, DC

Title

Owner/Clinic Director

Phone

(608) 897-3080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1396988820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 16TH ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201744",
            "telephone_number": "608-897-3080",
            "fax_number": "608-897-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 16TH ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201744",
            "telephone_number": "608-897-3080",
            "fax_number": "608-897-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAWN A. SMITH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "608-897-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3969-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Brodhead, WI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.