Beau Dustin Doubleday, D.C., D.A.C.N.B.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

2301009208 Issued in MI

Practice address

601 S Shore Dr
Unit 121
Battle Creek, MI 49014-5440

Phone

(269) 963-3072

Fax

(269) 963-3072

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doubleday'S Spine & Brain of Southwest Michigan PLLC

  • Neurology Chiropractor
  • Battle Creek, MI
  • NPI 1982903696
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1972604031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SHORE DR",
            "address_2": "UNIT 121",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145440",
            "telephone_number": "269-963-3072",
            "fax_number": "269-963-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SHORE DR",
            "address_2": "UNIT 121",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145440",
            "telephone_number": "269-963-3072",
            "fax_number": "269-963-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLEDAY",
        "first_name": "BEAU",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MI",
            "license": "2301009208",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Dorr, D.O.
• Dorsal Thinking and Living
• Jasmine Elaine Dorsey, M.D
• Gregory Duane Dotson, O.D.
• Chelsea Doty, MA
• Doubleday'S Spine & Brain of Southwest Michigan PLLC
• Melanie Dougherty
• Douglas G Campbell MD - Battle Creek Health System
• Douglas L Campbell D.C, P.C
• Jasmine Dowe-Brewton

• Neurology Chiropractor in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Neurology Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.