Organization Active NPI

Dewar Chiropractic Inc.

  • Chiropractor
  • Portage, IN
National Provider Identifier
1881860971
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001702 Issued in IN
Legal business name
DEWAR CHIROPRACTIC INC.
Practice address
2686 Willowcreek Rd
Suite B
Portage, IN 46368-3550
Phone
(219) 763-6233
Fax
(219) 763-7245
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Daniel Raleigh Dewar, D.C.
Title
President
Phone
(219) 763-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001702 IN Primary

Addresses

Primary practice location

2686 Willowcreek Rd
Suite B
Portage, IN 46368-3550

Mailing address

2686 Willowcreek Rd
Suite B
Portage, IN 46368-3550
Phone (219) 763-6233

National Provider Directory

National Provider Directory

Locations

2686 Willowcreek Rd
Ste B
Portage, IN 46368
Phone (219) 763-6233

2686 Willowcreek Rd
#B
Portage, IN 46368
Phone (219) 763-6233

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1881860971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 WILLOWCREEK RD",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683550",
            "telephone_number": "219-763-6233",
            "fax_number": "219-763-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 WILLOWCREEK RD",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683550",
            "telephone_number": "219-763-6233",
            "fax_number": "219-763-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWAR CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RALEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-763-6233",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.