Dalton Russell Lewallen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6041-12 Issued in WI

Practice address

500 S Main St
Cadott, WI 54727-9401

Phone

(715) 289-5000

NPI assigned

Dec 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kromrey Chiropractic SCGroup PAC ID 0648229179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aligned by Lewallen LLC

  • Chiropractor
  • Holcombe, WI
  • NPI 1427917970
  Medicare reassignment NPD Authorized official
• Kromrey Chiropractic, S.C.

  • Chiropractor
  • Cadott, WI
  • NPI 1396934725
  Medicare reassignment Care Compare group NPD
• Chiro One Wellness Center of Stevens Point LLC

  • Chiropractor
  • Stevens Point, WI
  • NPI 1083359814
  Medicare reassignment NPD
• Ponick Chiropractic

  • Sports Physician Chiropractor
  • Stanley, WI
  • NPI 1730463050
  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1023720182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8894 BROKEN ARROW RD",
            "city": "CONRATH",
            "state": "WI",
            "postal_code": "547319783",
            "telephone_number": "715-206-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "city": "CADOTT",
            "state": "WI",
            "postal_code": "547279401",
            "telephone_number": "715-289-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "DALTON",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6041-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLH Enterprises, Inc.
• Katie Klein, RN
• Kromrey Chiropractic, S.C.
• Shawn Michael Kromrey, D.C.
• Rick Kenneth Lawson Jr., D.C
• Kevin D Litten
• Laura Ann Longanecker, RN
• Michelle Ludka, RDH
• Shane M Mathison, DC
• MCHS Hospitals Inc

• All providers in Cadott, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.