Dawn M Wider, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007103-1 Issued in NY

Practice address

1463 Route 300
Newburgh, NY 12550-2679

Phone

(845) 566-5626

Fax

(845) 566-5651

NPI assigned

Apr 20, 2007

Sex

Female

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priestley Chiropractic PCGroup PAC ID 8022477579, 5 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 and National Provider Directory roles.

• Priestley Chiropractic, P.C.

  • Chiropractor
  • Farmingdale, NY
  • NPI 1508559097
  Medicare reassignment Care Compare group NPD
• New York Neurology and Medical Services P.C

  • Neurology Physician
  • Great Neck, NY
  • NPI 1518396308
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881811503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502679",
            "telephone_number": "845-566-5626",
            "fax_number": "845-566-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502679",
            "telephone_number": "845-566-5626",
            "fax_number": "845-566-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDER",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Jay Wexler, D.O.
• Gabrielle Jocelyn Wheeler
• Ashley Michelle White, RDH
• Whole Life Center, Inc
• Laura Wicks
• Marcella Wierl, R.N.
• Dawn Patricia Wilkin, CPS
• Nioly Giovanna Wilkinson, CNM
• Willcare
• Colin Elvern Williams, DDS

• Chiropractor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.