Individual provider Active NPI

Brandon James Dial, DC

  • Chiropractor
  • Signal Mountain, TN
National Provider Identifier
1558915652
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3298 Issued in TN
Practice address
2600 Taft Hwy Ste 300
Signal Mountain, TN 37377-2775
Phone
(423) 641-8131
NPI assigned
Jul 26, 2019
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3298 TN Primary

Addresses

Primary practice location

2600 Taft Hwy Ste 300
Signal Mountain, TN 37377-2775

Mailing address

2600 Taft Hwy Ste 300
Signal Mountain, TN 37377-2775
Phone (423) 641-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190816001734 WI Practitioner - Chiropractic 3870820657
I20210212000483 TN Practitioner - Chiropractic 3870820657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dialed-in Chiropractic LLCGroup PAC ID 5294140885, 2 clinicians

Practice addresses (Care Compare)

2600 Taft Hwy
Suite 300
Signal Mountain, TN 37377-2775
Phone (423) 641-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dialed-in Chiropractic LLC Chiropractor CurrentSince Jan 20, 2021 Accepting new patients
Back & Body Therapeutic Touch, LLC PastSince Jul 26, 2019 Accepting new patients

Locations

2600 Taft Hwy
Ste 300
Signal Mtn, TN 37377
Phone (423) 641-8131

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1558915652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TAFT HWY STE 300",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772775",
            "telephone_number": "423-641-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TAFT HWY STE 300",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772775",
            "telephone_number": "423-641-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.