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DALLAS BENJAMIN MITCHELL DC
NPI 1114653383
Chiropractor in Marysville, MI

Active since July 28, 2022Accepts Medicare Assignment
3188 GRATIOT BLVD, MARYSVILLE, MI 48040(810) 637-1205(810) 321-0563 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2024, Oct 25, 2022, Jul 28, 2022 (3 updates tracked since 2022).

About Dallas Benjamin Mitchell Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS BENJAMIN MITCHELL DC (NPI 1114653383) is an individual chiropractor in Marysville, Michigan, licensed in Michigan (2301401317) and active in the NPI registry since July 2022. He is a graduate of Palmer College Chiropractic - Davenport (2022).

NPPES Registry Identity

NPI1114653383
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDALLAS BENJAMIN MITCHELLCredential: DC
Location Address3188 GRATIOT BLVDMarysville, MI 48040-1488
Mailing Address3188 Gratiot BlvdMarysville, MI 48040-1488 · (810) 824-0693 · Fax (810) 321-0563
Phone(810) 637-1205
Fax(810) 321-0563
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2022
Enumeration DateJuly 28, 2022
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1114653383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301401317
Definition
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.
3188 GRATIOT BLVD, Marysville, MI 48040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dallas Benjamin Mitchell Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012361629
PECOS Enrollment IDI20231002001134

Medicare Billing Reassignment

Medicare enrollment records show Dallas Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mitchell Chiropractic LLC
Same address
Chiropractor
3188 GRATIOT BLVD
Marysville, MI 48040
  • Reassigned Medicare billing, Michigan enrollment
NPI 1568170934 (810) 637-1205

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
139 services13 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL CHIROPRACTIC LLC
Chiropractor
3188 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 637-1205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Mitchell's NPI number?

The NPI number for Dallas Mitchell is 1114653383. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Dallas Mitchell located?

Dallas Mitchell practices at 3188 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 637-1205.

What is Dallas Mitchell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dallas Mitchell enrolled in Medicare?

Yes. Dallas Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dallas Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Mitchell reassigns Medicare benefits to Mitchell Chiropractic LLC (Marysville, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dallas Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dallas Mitchell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Dallas Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dallas Mitchell was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.