NPIMap

Organization Active NPI

Grant T Dawson DC PC

  • Chiropractor
  • Tualatin, OR
National Provider Identifier
1962669390
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1240 Issued in OR
Legal business name
GRANT T DAWSON DC PC
Practice address
19767 SW 72ND Ave
Suite 103
Tualatin, OR 97062-8354
Phone
(503) 620-6480
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Grant T Dawson, D.C.
Title
Owner
Phone
(503) 620-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1240 OR Primary

Addresses

Primary practice location

19767 SW 72ND Ave
Suite 103
Tualatin, OR 97062-8354

Mailing address

19767 SW 72ND Ave
Suite 103
Tualatin, OR 97062-8354
Phone (503) 620-6480

Other identifiers 1

IdentifierTypeStateIssuer
000297001OtherORBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

19767 SW 72nd Ave
Ste 103
Tualatin, OR 97062
Phone (503) 620-6480

Interoperability endpoints

  • Direct secure messaging: gtd@dc0016.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1962669390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE",
            "address_2": "SUITE 103",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-620-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE",
            "address_2": "SUITE 103",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-620-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT T DAWSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-620-6480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000297001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.