Active NPI
Dawn K Tobin, D.C.
- Chiropractor
- North Haven, CT
National Provider Identifier
1174716856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1484
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11770585 | Other | CAQH PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1484 | CT | MD | Registered 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
- Sunil Raj Thomas, M.D.
- Julie Thompson, PA-C
- Michel Antoinette Thompson
- Michael Alan Thorns, LAC
- Thoughts of Peace, LLC
- Lisa Meryl Torre, OTR/L, LMT
- Totalvision Associates of North Haven PLLC (TotalVision Eyecare Center)
- Town of North Haven
- Town of North Haven Community Services (North Haven Community Services)
- Transformative Therapy Solutions LLC
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.