Individual provider Active NPI

Alexander Dwan, DC

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1922819408
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401588 Issued in MI
Practice address
1570 S Euclid Ave
Bay City, MI 48706-3318
Phone
(989) 200-7473
NPI assigned
Jan 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301401588 MI Primary

Addresses

Primary practice location

1570 S Euclid Ave
Bay City, MI 48706-3318

Mailing address

1570 S Euclid Ave
Bay City, MI 48706-3318
Phone (989) 200-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307003137 MI Practitioner - ChiropracticPractitioner - Sports Medicine 7911428834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Chiropractic PLLCGroup PAC ID 9931536414, 4 clinicians

Practice addresses (Care Compare)

1570 S Euclid Ave
Bay City, MI 48706-3318
Phone (989) 200-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401588MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Chiropractic, PLLC Chiropractor CurrentSince Jan 14, 2025 Accepting new patients

Locations

1570 S Euclid Ave
Bay City, MI 48706
Phone (989) 200-7473

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1922819408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063318",
            "telephone_number": "989-200-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063318",
            "telephone_number": "989-200-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.