DR. MARSHALL DEAN WEBSTER D.C. NPI 1003000415

Chiropractor in Lake City, FL

About MARSHALL WEBSTER

Marshall Webster is a provider in Lake City, FL with more than 14 years of experience. The NPI number assigned to this provider is 1003000415. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an individual and their NPI record was last updated one year ago. Marshall Webster is registered with Medicare and accepts claims assignment.

NPI	1003000415 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	DR. MARSHALL DEAN WEBSTER D.C.
Provider Location Address	1478 SW SISTERS WELCOME RD LAKE CITY, FL 32025 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1478 SW SISTERS WELCOME RD LAKE CITY, FL 32025 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Male
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	OTHER
Graduation Year	2005
Is Sole Proprietor?	Yes
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	08-29-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	02-08-2017 Last update date The date that a record was last updated or changed.

Business Address

DR. MARSHALL DEAN WEBSTER D.C.
1478 SW SISTERS WELCOME RD
LAKE CITY, FL
ZIP 32025
Phone: (386) 590-1752
Fax: (386) 269-9676

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Mailing Address

DR. MARSHALL DEAN WEBSTER D.C.
1478 SW SISTERS WELCOME RD
LAKE CITY, FL
ZIP 32025
Phone: (386) 590-1752
Fax: (386) 269-9676

Primary Taxonomy

Taxonomy Code	111N00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Chiropractor
Type	Chiropractic Providers
License No.	CH10056
License State	FL
Taxonomy Description	A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Medicare Participation

PECOS PAC ID	6002995131
PECOS Enrollment ID	I20150126000932
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No.	Taxonomy Code	Type	Classification	License No.	State	Primary
1	111N00000X	Chiropractic Providers	Chiropractor	CHIR008295	GA	No
1	Taxonomy Description: a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2	111N00000X	Chiropractic Providers	Chiropractor	3177	SC	No
2	Taxonomy Description: a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
IA771A	MEDICARE UPIN (02)	FL

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