Individual provider Active NPI

Dawn K Tobin, D.C.

  • Chiropractor
  • North Haven, CT
National Provider Identifier
1174716856
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1484 Issued in CT
Practice address
28 Washington Ave
1St Floor
North Haven, CT 06473-2309
Phone
(203) 314-1822
NPI assigned
Aug 25, 2007
Last updated
Aug 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1484 CT Primary

Addresses

Primary practice location

28 Washington Ave
1St Floor
North Haven, CT 06473-2309

Mailing address

28 Washington Ave
1St Floor
North Haven, CT 06473-2309
Phone (203) 314-1822

Other identifiers 1

IdentifierTypeStateIssuer
11770585OtherCAQH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000308 CT Practitioner - Chiropractic 0042309569 Practice locations: North Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28 Washington Ave
FL 1
North Haven, CT 06473-2309
Phone (203) 234-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1484CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188000000000",
    "number": "1174716856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WASHINGTON AVE",
            "address_2": "1ST FLOOR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732309",
            "telephone_number": "203-314-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WASHINGTON AVE",
            "address_2": "1ST FLOOR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732309",
            "telephone_number": "203-314-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "DAWN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11770585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.