Individual provider Active NPI

Mary Nelle James Dotson, D.C.

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1669773917
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10145 Issued in FL
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

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
CH10145FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Being Well Chiropractic and Natural Health Inc Chiropractor CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.