James Jordan Dwan, DC, AT, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010519 Issued in MI

Practice address

4882 Gratiot Rd Ste 13
Saginaw, MI 48638-6269

Phone

(248) 390-1499

Fax

(248) 390-1499

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417471392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WACKERLY ST STE 2",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427071",
            "telephone_number": "989-631-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 GRATIOT RD STE 13",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386269",
            "telephone_number": "248-390-1499",
            "fax_number": "248-390-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Wackerly St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486427071",
            "country_code": "US",
            "telephone_number": "989-631-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWAN",
        "first_name": "JAMES",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010519",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Dusza, MD
• Peter Dutcher
• Deena Dutkiewicz
• Emily Duval
• Sharon Ann Dvorsky, MSW,LCSW
• Jeffrey John Dwan, DDS MS
• Abbey Dwinnells
• Amy Dwyer, R.PH
• Dayana Dwyer
• Jacqueline Carrington Dwyer, MS, LPC, LBSW

• Chiropractor in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.