Dalton James Brewer, DC
Individual provider Active NPI Chiropractor · Fayetteville, TN
NPI 1457069288 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1457069288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC0000003650 (TN)
- Practice address
- 105 Davidson St E
Fayetteville, TN 37334-3580 - Phone
- (931) 557-5111
- Fax
- (931) 557-5112
- NPI assigned
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elk River Chiropractic LLC
Practice addresses (Care Compare)
105 Davidson St E
Fayetteville, TN 37334-3580
Phone (931) 557-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230307002485 | TN | Practitioner - Chiropractic | 3476926742 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000003650 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elk River Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
105 Davidson St E
Fayetteville, TN 37334
Phone (931) 557-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000003650 | TN | Yes |
Addresses
Primary practice location
105 Davidson St E
Fayetteville, TN 37334-3580
Mailing address
105 Davidson St E
Fayetteville, TN 37334-3580
Phone (931) 557-5111
Other providers in Fayetteville, TN
- Andrew Black
- Blessed Care
- Caitlin Alyse Bradford
- Amanda Bradley
- James David Bray
- Judy Carolyn Brewer
- Stephanie Eady Britt
- Amanda Louise Brown
- Daniel Lawrence Brown
- Stefanie Brown
All providers in Fayetteville, TN · Chiropractor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.