Individual provider Active NPI

Timothy Anthony Dunne, D.C.

  • Rehabilitation Chiropractor
  • Johnson City, TN
National Provider Identifier
1477644565
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2552 Issued in TN
Practice address
215 E Watauga Ave
Suite 100
Johnson City, TN 37601-4629
Phone
(423) 388-3643
Fax
(423) 388-3561
NPI assigned
Sep 27, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2238 OH
Chiropractor 111N00000X 2301007102 MI
Rehabilitation Chiropractor 111NR0400X 2552 TN Primary

Addresses

Primary practice location

215 E Watauga Ave
Suite 100
Johnson City, TN 37601-4629

Mailing address

215 E Watauga Ave
Suite 100
Johnson City, TN 37601-4629
Phone (423) 388-3643

Other identifiers 4

IdentifierTypeStateIssuer
000000316403OtherOHANTHEM
2186558MedicaidOH
950E810930OtherMIBCBSM
4311318OtherTNBCBST

Other names 1

  • Dr. Timothy Anthony Dunne Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000421 TN Practitioner - Chiropractic 1153394929 Practice locations: Johnson City, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2238OHMDPsychologist
2552TNMDCounseling Psychologist
2301007102MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Integrated Medical CurrentSince Dec 3, 2023 Accepting new patients
New Life Chiropractic and Wellness Inc Past Accepting new patients
Pridemore Family Chiropractic PC Chiropractor Past Accepting new patients
Dunne Chiropractic, LLC Chiropractor PastSince Jan 10, 2006 Accepting new patients
Back Care of Toledo, LLC Chiropractor Past Accepting new patients
Calkins Chiropractic LLC Chiropractor Past Accepting new patients
Nuber Chiropractic LLC Chiropractor PastSince Oct 21, 2025 Accepting new patients
Schweighart Wellness LLC Chiropractor Past Accepting new patients

Locations

215 E Watauga Ave
Ste 100
Johnson City, TN 37601
Phone (423) 388-3643

Organizations & group practices 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1477644565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WATAUGA AVE",
            "address_2": "SUITE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014629",
            "telephone_number": "423-388-3643",
            "fax_number": "423-388-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WATAUGA AVE",
            "address_2": "SUITE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014629",
            "telephone_number": "423-388-3643",
            "fax_number": "423-388-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "TIMOTHY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2238",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007102",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TN",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000316403",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2186558",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E810930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4311318",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DUNNE",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.