Individual provider Active NPI

Lisa Antoinette Micheli-Dawson, D.C.

  • Chiropractor
  • Rancho Palos Verdes, CA
National Provider Identifier
1891529632
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
26640 Issued in CA
Practice address
28727 S Western Ave
Rancho Palos Verdes, CA 90275-0800
Phone
(310) 547-4005
Fax
(310) 547-4117
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 26640 CA Primary

Addresses

Primary practice location

28727 S Western Ave
Rancho Palos Verdes, CA 90275-0800

Mailing address

28727 S Western Ave
Rancho Palos Verdes, CA 90275-0800
Phone (310) 547-4005

Other names 1

  • Lisa Antoinette Micheli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008004509 CA Practitioner - Chiropractic 6406263698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26640CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Medicine Inc. Chiropractor CurrentSince Sep 1, 2024 Accepting new patients
David & Lisa Dawson Chiropractic Corporation Chiropractor CurrentSince Aug 18, 2020 Accepting new patients

Locations

28727 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 547-4005

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1891529632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28727 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750800",
            "telephone_number": "310-547-4005",
            "fax_number": "310-547-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28727 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750800",
            "telephone_number": "310-547-4005",
            "fax_number": "310-547-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELI-DAWSON",
        "first_name": "LISA",
        "middle_name": "ANTOINETTE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MICHELI",
            "middle_name": "ANTOINETTE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.