Individual provider Active NPI

Daniel Bradford McMahan, DC

  • Chiropractor
  • Maryville, TN
National Provider Identifier
1003833963
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001989 Issued in TN
Practice address
2732 US Highway 411 S
Maryville, TN 37801-3104
Phone
(865) 681-5277
Fax
(865) 681-5278
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001989 TN Primary

Addresses

Primary practice location

2732 US Highway 411 S
Maryville, TN 37801-3104

Mailing address

750 Winfield Dunn Pkwy Unit 160
Sevierville, TN 37876-5570
Phone (865) 366-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001989TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health PLLC CurrentSince Aug 1, 2013 Accepting new patients
Optimal Health PLLC Chiropractor CurrentSince Aug 1, 2013 Accepting new patients
Kingsport Family Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

8874 Kingston Pike
Knoxville, TN 37923
Phone (865) 690-4200

8874 Kingston Pike
Ste 202
Knoxville, TN 37923
Phone (865) 691-9055

2905 Tazewell Pike
Knoxville, TN 37918
Phone (865) 686-1600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1003833963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WINFIELD DUNN PKWY UNIT 160",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765570",
            "telephone_number": "865-366-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 US HIGHWAY 411 S",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013104",
            "telephone_number": "865-681-5277",
            "fax_number": "865-681-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "DANIEL",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.