Individual provider Active NPI

Dawn Brereton, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1902941842
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06080 Issued in KS
Practice address
10880 Benson Dr Ste 2350
Overland Park, KS 66210-1599
Phone
(913) 795-7127
NPI assigned
Feb 20, 2007
Last updated
Jan 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012180 IL
Chiropractor 111N00000X 01-06080 KS Primary

Addresses

Primary practice location

10880 Benson Dr Ste 2350
Overland Park, KS 66210-1599

Mailing address

1309 W 100TH Ter Ste 104
Kansas City, MO 64114-4222
Phone (812) 201-9214

Other names 1

  • Dr. Dawn Webster Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ChiroTouch Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202002968 KS Practitioner - Chiropractic 6305945718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10880 Benson Dr
Suite 2350
Overland Park, KS 66210-1599
Phone (913) 795-7127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012180ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Webster Chiropractic LLC Chiropractor CurrentSince Jan 18, 2021 Accepting new patients
Universal Wellness Source at Lakeshore East SC Chiropractor CurrentSince Dec 1, 2012 Accepting new patients

Locations

333 E Benton Pl
Ste 104
Chicago, IL 60601
Phone (312) 265-0655

10880 Benson Dr
Ste 2350
Overland Park, KS 66210
Phone (812) 201-9214

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1902941842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W 100TH TER STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144222",
            "telephone_number": "812-201-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 BENSON DR STE 2350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101599",
            "telephone_number": "913-795-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRERETON",
        "first_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012180",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10880 Benson Dr Ste 2350",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WEBSTER",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.