Active NPI
Adam Matthew Dahlberg, D.C.
- Chiropractor
- Ooltewah, TN
National Provider Identifier
1053956599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0000003317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557422 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dahlberg Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Haag Foot and Ankle PLLC | Past | 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.
-
- Podiatrist
- Ooltewah, TN
- NPI 1518351378
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.