Organization Active NPI

Dalton Chiropractic Center PC

  • Chiropractor
  • Brazil, IN
National Provider Identifier
1982044871
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000542A Issued in IN
Legal business name
DALTON CHIROPRACTIC CENTER PC
Practice address
314 S Forest Ave
Brazil, IN 47834-3114
Phone
(812) 448-1177
Fax
(812) 442-0378
NPI assigned
Jun 25, 2013
Last updated
Jun 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Michael J Dalton, DCNPI 1265417976
Title
President
Phone
(812) 448-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000542A IN Primary

Addresses

Primary practice location

314 S Forest Ave
Brazil, IN 47834-3114

Mailing address

314 S Forest Ave
Brazil, IN 47834-3114
Phone (812) 448-1177

Other identifiers 1

IdentifierTypeStateIssuer
100079180AMedicaidIN

National Provider Directory

National Provider Directory

Locations

314 S Forest Ave
Brazil, IN 47834
Phone (812) 448-1177

747 E US Highway 40
Brazil, IN 47834
Phone (812) 448-1177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1982044871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S FOREST AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478343114",
            "telephone_number": "812-448-1177",
            "fax_number": "812-442-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S FOREST AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478343114",
            "telephone_number": "812-448-1177",
            "fax_number": "812-442-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-448-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000542A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079180A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.