Individual provider Active NPI

Dalton Brown, DC

  • Chiropractor
  • Durant, OK
National Provider Identifier
1972143683
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4353 Issued in OK
Practice address
1259 N Washington Ave
Durant, OK 74701-2119
Phone
(580) 920-2555
NPI assigned
Jan 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 DC4353 OK Primary

Addresses

Primary practice location

1259 N Washington Ave
Durant, OK 74701-2119

Mailing address

1259 N Washington Ave
Durant, OK 74701-2119

Other identifiers 1

IdentifierTypeStateIssuer
DC4353MedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Durant Total Health & Wellness Center Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002877 OK Practitioner - Chiropractic 4981030996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1259 N Washington Ave
Durant, OK 74701-2119
Phone (580) 920-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health & Wellness Center Inc Chiropractor CurrentSince Jan 10, 2020 Accepting new patients
Texoma Chiropractic and Wellness Center LLC Chiropractor CurrentSince Mar 21, 2023 Accepting new patients

Locations

1259 N Washington Ave
Durant, OK 74701
Phone (580) 920-2555

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972143683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-920-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "DC4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC4353",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Durant",
            "affiliation": "Y",
            "affiliationName": "Total Health & Wellness Center Inc",
            "address_1": "1259 N Washington Ave",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.