Dustin Walton

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR009256 Issued in GA

Practice address

425 Peachtree Pkwy Ste 315
Cumming, GA 30041-7237

Phone

(770) 573-2777

Fax

(770) 888-1176

NPI assigned

Jan 27, 2014

Last updated

Jan 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Spine CenterGroup PAC ID 0941512305, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Spine Center

  • Rehabilitation Chiropractor
  • Peachtree City, GA
  • NPI 1699174896
  Medicare reassignment Care Compare group NPD Authorized official
• Dynamic Spine II Center LLC

  • Orthopedic Chiropractor
  • Newnan, GA
  • NPI 1235609041
  Medicare reassignment NPD
• BHBD LLC

  • Chiropractor
  • Cumming, GA
  • NPI 1487140893
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1821411984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 MERRIMAN WALK SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809017",
            "telephone_number": "229-460-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PEACHTREE PKWY STE 315",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417237",
            "telephone_number": "770-573-2777",
            "fax_number": "770-888-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "DUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR009256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Waller, MD
• Suzanne Waller, L.P.C.
• Erin Blair Wallis, CSC
• Nancy Walsh, MD
• Colin Walters, DMD
• Suzanne M Walton, PHARMD
• Wei Wang, OTR
• Xin Wang, PHARMD
• Yu Juan Wang, PHARM. D
• Heather Brown Wanner, FNP-BC

• Rehabilitation Chiropractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.