Individual provider Active NPI

Grant Michael Dobson, DC

  • Chiropractor
  • Sonoma, CA
National Provider Identifier
1831459247
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32312 Issued in CA
Practice address
587 5TH St W
Sonoma, CA 95476-6831
Phone
(707) 935-1006
Fax
(707) 935-7291
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32312 CA Primary

Addresses

Primary practice location

587 5TH St W
Sonoma, CA 95476-6831

Mailing address

587 5TH St W
Sonoma, CA 95476-6831
Phone (707) 935-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

587 5TH St W
Sonoma, CA 95476-6831
Phone (707) 935-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32312CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dobson Chiropractic, Inc. Chiropractor CurrentSince Oct 14, 2020 Accepting new patients
Cathryn Charette DC a Chiropractic Corporation Chiropractor CurrentSince Oct 14, 2020 Accepting new patients
Adams Chiropractic Offices, Inc Chiropractor PastSince May 9, 2009 Accepting new patients

Locations

587 5th St W
Sonoma, CA 95476
Phone (707) 935-1006

Organizations & group practices 3

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1831459247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 5TH ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766831",
            "telephone_number": "707-935-1006",
            "fax_number": "707-935-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 5TH ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766831",
            "telephone_number": "707-935-1006",
            "fax_number": "707-935-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.