Marshall Aaron Dallas, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003370 Issued in WA

Practice address

1509 Broadway
Bellingham, WA 98225-3037

Phone

(360) 733-3775

Fax

(360) 647-1936

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dallas Chiropractic Clinic PLLC

  • Chiropractor
  • Bellingham, WA
  • NPI 1215326046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1811995400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BROADWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253037",
            "telephone_number": "360-733-3775",
            "fax_number": "360-647-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 BROADWAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253037",
            "telephone_number": "360-733-3775",
            "fax_number": "360-647-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "MARSHALL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA",
            "identifier": "CH00003370",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L AND I",
            "identifier": "112888",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duane Dales, LPN
• Jessica Dalgas
• Kristin M Dalla Santa
• Dallas Chiropractic Clinic PLLC
• Jerry F Dallas, D.C.
• Kellyanna M Dalton, L. AC.
• Mari Michelle Dalton, MA, MFT
• Maria Dalzot, RDN
• Dawn M Damon, SUDPT, AAC
• Derek Richard Damon, DDS

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.

Verify at the official NPI Registry.