Active NPI
Bryan Michael Dame, D.C.
- Chiropractor
- Springfield, MO
National Provider Identifier
1508023367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2010024744
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6231 | CO | MD | Chiropractor |
| 2010024744 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dame Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Harshman Chiropractic Clinic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Springfield, MO
- NPI 1255149761
-
- Chiropractor
- Springfield, MO
- NPI 1427226091
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.