Active NPI
Valda Antoinette Dawson, D.C., PA-C
- Physician Assistant
- Bristol, PA
National Provider Identifier
1831303395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001224L
- Practice address
- 501 Bath Rd
Bristol, PA 19007-3101 - Phone
- (267) 405-6530
- NPI assigned
- May 10, 2007
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001224L | PA | Primary |
| Chiropractor | 111N00000X | DC006175L | PA |
Addresses
Primary practice location
501 Bath Rd
Bristol, PA 19007-3101
Mailing address
1043 Longshore Ave
Philadelphia, PA 19111-4412
Phone (215) 852-8432
Other practice location 1
1306 Spring Garden St Fl 5
Philadelphia, PA 19123-3213
Phone (215) 238-2163
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC006175L | PA | MD | Chiropractor |
| MA001224L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1831303395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 LONGSHORE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191114412",
"telephone_number": "215-852-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BATH RD",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073101",
"telephone_number": "267-405-6530"
}
],
"practiceLocations": [
{
"address_1": "1306 Spring Garden St Fl 5",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191233213",
"country_code": "US",
"telephone_number": "215-238-2163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "VALDA",
"middle_name": "ANTOINETTE",
"name_prefix": "Dr.",
"credential": "D.C., PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001224L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006175L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.