Dyson Chiropractic and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DYSON CHIROPRACTIC AND WELLNESS

Practice address

955 236TH St NE Ste 1
North Liberty, IA 52317-9683

Phone

(319) 213-0497

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Dyson, DCNPI 1104383025

Title

Owner

Phone

(319) 213-0497

Specialties & licenses 1

Addresses

Other names 1

• Dyson Chiropractic and Wellness LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Dyson, DC

  • Chiropractor
  • North Liberty, IA
  • NPI 1104383025
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1649826108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 236TH ST NE STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179683",
            "telephone_number": "319-213-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 236TH ST NE STE 1",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179683",
            "telephone_number": "319-213-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSON CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "DYSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-213-0497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyson Chiropractic and Wellness LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katelynn Marie Doran, PHARMD, BCPS
• Thomas Gregory Drahos, PA-C
• Jason Matthew Drwal, PH. D.
• Amy M Dupont, PA-C
• Alyson Carol Dusdieker, LPT
• Jacob Dyson, DC
• Thomas P Ebinger, M.D.
• Samira Esam Elbadawi Ebrahim, MD
• Anna Eckholm
• Matthew Ehler, LPT

• Primary Care Clinic/Center in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.