Individual provider Active NPI

Adam Matthew Dahlberg, D.C.

  • Chiropractor
  • Ooltewah, TN
National Provider Identifier
1053956599
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000003317 Issued in TN
Practice address
9325 Apison Pike Ste 137
Ooltewah, TN 37363-3805
Phone
(423) 619-8005
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0000003317 TN Primary
Chiropractor 111N00000X 0104557422 VA

Addresses

Primary practice location

9325 Apison Pike Ste 137
Ooltewah, TN 37363-3805

Mailing address

9325 Apison Pike Ste 137
Ooltewah, TN 37363-3805
Phone (423) 619-8005

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
0104557422VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dahlberg Family Chiropractic Chiropractor CurrentSince Aug 7, 2022 Accepting new patients
Haag Foot and Ankle PLLC PastSince Nov 1, 2020 Accepting new patients

Locations

9325 Apison Pike
Ste 137
Ooltewah, TN 37363
Phone (423) 396-3668

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1053956599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 APISON PIKE STE 137",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373633805",
            "telephone_number": "423-619-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 APISON PIKE STE 137",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373633805",
            "telephone_number": "423-619-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000003317",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.