Organization Active NPI

Dawson & Ma Chiropractic Corp.

  • Chiropractor
  • Montclair, CA
National Provider Identifier
1730358599
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26704 Issued in CA
Legal business name
DAWSON & MA CHIROPRACTIC CORP.
Practice address
8880 Benson Ave Ste 116
Montclair, CA 91763-1661
Phone
(909) 608-0190
Fax
(909) 608-0194
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Peter Dawson, DCNPI 1831291889
Title
Ceo
Phone
(909) 608-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26704 CA Primary

Addresses

Primary practice location

8880 Benson Ave Ste 116
Montclair, CA 91763-1661

Mailing address

8880 Benson Ave Ste 116
Montclair, CA 91763-1661
Phone (909) 608-0190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714001016 CA Part B Supplier - Clinic/Group Practice 1557397163 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, CA

National Provider Directory

National Provider Directory
Tax ID family
Dawson Ma Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8880 Benson Ave
Ste 116
Montclair, CA 91763
Phone (909) 608-0190

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1730358599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 BENSON AVE STE 116",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631661",
            "telephone_number": "909-608-0190",
            "fax_number": "909-608-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 BENSON AVE STE 116",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631661",
            "telephone_number": "909-608-0190",
            "fax_number": "909-608-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON & MA CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-608-0190",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.