Active NPI
Mary Nelle James Dotson, D.C.
- Chiropractor
- Lakeland, FL
National Provider Identifier
1669773917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10145
- Practice address
- 625 Commerce Dr Ste 102
Lakeland, FL 33813-2733 - Phone
- (863) 660-0038
- Fax
- (863) 582-9343
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10145 | FL | Primary |
Addresses
Primary practice location
625 Commerce Dr Ste 102
Lakeland, FL 33813-2733
Mailing address
625 Commerce Dr Ste 102
Lakeland, FL 33813-2733
Phone (863) 660-0038
Other names 1
- Mary Nelle James
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10145 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Being Well Chiropractic and Natural Health Inc | Chiropractor | Current | Accepting new patients |
Locations
625 Commerce Dr
Ste 102
Lakeland, FL 33813
Phone (863) 660-0038
Organizations & group practices 1
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
- Lakeland, FL
- NPI 1689309908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1669773917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 COMMERCE DR STE 102",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132733",
"telephone_number": "863-660-0038",
"fax_number": "863-582-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COMMERCE DR STE 102",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132733",
"telephone_number": "863-660-0038",
"fax_number": "863-582-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "MARY",
"middle_name": "NELLE JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "JAMES",
"middle_name": "NELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.