Individual provider Active NPI

Peter Dawson

  • Occupational Health Chiropractor
  • Montclair, CA
National Provider Identifier
1831291889
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC26704 Issued in CA
Practice address
8900 Benson Ave Ste E
Montclair, CA 91763-1669
Phone
(909) 608-0190
Fax
(909) 608-0194
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC26704 CA Primary

Addresses

Primary practice location

8900 Benson Ave Ste E
Montclair, CA 91763-1669

Mailing address

8900 Benson Ave Ste E
Montclair, CA 91763-1669
Phone (909) 608-0190

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26704CAMDClinical Social Worker
DC26704CAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson & Ma Chiropractic Corp. PastSince Jun 14, 2002 Accepting new patients
Dawson & Ma Chiropractic Past Accepting new patients

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1831291889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE STE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "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": "8900 BENSON AVE STE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-608-0190",
            "fax_number": "909-608-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "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 Feb 20, 2008; 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.