DOBSON CHIROPRACTIC CENTER PC (NPI# 1619191707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619191707 |
| Entity Type | Organization |
| Organization Name | DOBSON CHIROPRACTIC CENTER PC |
| Practice Address |
5529 W State Road 10 Demotte IN 46310-8799 |
| Practice Telephone | 2199877746 |
| Practice Fax Number | 2199877749 |
| Mailing Telephone | 2199877746 |
| Mailing Fax Number | 2199877749 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | DR. MARK JOHN DOBSON (OWNER) |
| Authorized Official Telephone | 2199877746 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
08001363 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100143220 | 05 | |
| IN | ANTHEM | 000000318182 | 01 |
| Street Address |
5529 W STATE ROAD 10 |
| City | DEMOTTE |
| State | IN |
| Zip Code | 46310-8799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640300 | Kevin John Defries | Chiropractor | 5529 W State Road 10, Po 238, Demotte, IN 46310-8799 | 2006-07-31 |
| 1669726568 | Daron Keith Lynch | Chiropractor | 5529 W State Road 10, Demotte, IN 46310-8799 | 2012-10-31 |
| 1083765259 | Mark John Dobson | Chiropractor | 5529 W State Road 10, Demotte, IN 46310-8799 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872197 | Mackenna Lee Vandertuin | Early Intervention Provider Agency | 400 11th Circle Se, Demotte, IN 46310 | 2020-05-15 |
| 1316283609 | Jasper County Chiropractic, Inc. | Chiropractor | 701 South Halleck Street, Demotte, IN 46310 | 2012-12-14 |
| 1518136944 | John Joseph Perry | Pharmacist | 915 S Halleck St, Demotte, IN 46310 | 2008-02-29 |
| 1164644498 | Dodi R. Woolley Dds, Inc | Dentist | 534 N Hallock St, Demotte, IN 46310 | 2007-05-03 |
| 1700989233 | Eric J Leestma | Family Medicine | 519 N Halleck, Demotte, IN 46310 | 2006-09-07 |
| 1215960463 | Keener Civil Township Jasper County Ttee | Ambulance | 708 15th St Se, Demotte, IN 46310 | 2006-07-09 |
| 1437187085 | Cecilia Jean Sampsel | Family Medicine | 520 Eighth Ave N.e, Demotte, IN 46310 | 2006-06-30 |
| 1689602468 | Frances Clark | Nurse Practitioner | 11920 W State Rd 10, Demotte, IN 46310 | 2006-06-29 |
| 1336359801 | Donabelle Reyes Eliscupides | Physical Therapist | 10352 N 600 E, Demotte, IN 46310 | 2007-05-23 |
| 1760691638 | Cheryle Rae Lewandowski | Physical Therapy Assistant | 10352 N 600 E, Demotte, IN 46310 | 2007-05-21 |
| Find all providers in zip 46310 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083765259 | Mark John Dobson | Chiropractor | 5529 W State Road 10, Demotte, IN 46310-8799 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497274 | Alexander Sarpa | Chiropractor | 40 Executive Dr Ste E, Carmel, IN 46032-5478 | 2019-10-03 |
| 1659794790 | Maxlife Chiropractic | Chiropractor | 9865 E 116th St Ste 150, Fishers, IN 46037-9239 | 2014-01-25 |
| 1598098766 | Bremen Chiropractic Center PC | Chiropractor | 204 E Plymouth Street, Bremen, IN 46506-1238 | 2009-09-04 |
| 1518148493 | Binder Chiropractic | Chiropractor | 326 Blackman St, Clinton, IN 47842-2309 | 2007-11-19 |
| 1841489887 | Chukwuemeka Kelechi Chidebelu-eze | Chiropractor | 819 Auburn Hill Dr, G, Indianapolis, IN 46224-7137 | 2007-10-16 |
| 1801927561 | Andrew Gerard Dibley | Chiropractor | 1709 E Bristol St, Elkhart, IN 46514-6606 | 2007-03-07 |
| 1043366347 | Timothy J Kistler | Chiropractor | 5845 Sunnyside Rd, Suite 800, Indianapolis, IN 46235-8402 | 2007-01-27 |
| 1063561793 | Wiliam George Garl | Chiropractor | 204 E Plymouth St, Bremen, IN 46506-1238 | 2007-01-10 |
| 1366513475 | Sheila Lanell Wilson | Chiropractor | 5637 W 56th St, Indianapolis, IN 46254-1652 | 2006-11-11 |
| 1114017084 | G. Lyman Shaw | Chiropractor | 17 Motif Blvd, Brownsburg, IN 46112-1017 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.