Individual provider Active NPI

Bryan Michael Dame, D.C.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1508023367
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010024744 Issued in MO
Practice address
636 W Republic Rd
Ste 108
Springfield, MO 65807-5818
Phone
(417) 862-1922
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6231 CO
Chiropractor 111N00000X 2010024744 MO Primary

Addresses

Primary practice location

636 W Republic Rd
Ste 108
Springfield, MO 65807-5818

Mailing address

636 W. Republic Rd.
Ste 108
Springfield, MO 80537
Phone (417) 862-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000048 MO Practitioner - Chiropractic 9931381183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dame Chiropractic LLCGroup PAC ID 8729504188, 2 clinicians

Practice addresses (Care Compare)

636 W Republic Rd
Springfield, MO 65807-5803
Phone (417) 862-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6231COMDChiropractor
2010024744MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dame Chiropractic, LLC Chiropractor CurrentSince Mar 19, 2025 Accepting new patients
Harshman Chiropractic Clinic LLC Chiropractor CurrentSince Jan 26, 2011 Accepting new patients

Locations

636 W Republic Rd
Ste 108
Springfield, MO 65807
Phone (417) 862-1922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1508023367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W. REPUBLIC RD.",
            "address_2": "STE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "80537",
            "telephone_number": "417-862-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "STE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-862-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAME",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6231",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010024744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.