James Walter Chapman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5517 Issued in MN

Practice address

2204 Commerce Blvd
Mound, MN 55364-1547

Phone

(952) 297-1010

NPI assigned

May 11, 2011

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dynamic Chiropractic and Rehab PLLC

  dba HealthSource Chiropractic of Mound

  • Chiropractor
  • Mound, MN
  • NPI 1710698477
  Authorized official Same address or phone

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1639461544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 BLAKE AVE",
            "city": "LESTER PRAIRIE",
            "state": "MN",
            "postal_code": "553544506",
            "telephone_number": "612-709-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641547",
            "telephone_number": "952-297-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 Lake St S",
            "address_purpose": "LOCATION",
            "city": "Forest Lake",
            "state": "MN",
            "postal_code": "550252616",
            "country_code": "US",
            "telephone_number": "651-464-1113",
            "fax_number": "651-464-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JAMES",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5517",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "5517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo M Berger, MD
• Mi Ja Kang Bergerson, LICSW
• Kimberly Anne Buffington-Latour, M.A., CCC-SLP
• Lisa Geri Burns, RN, CNP
• James Byers
• Katie Davis, CPHT
• Renee Day, RPH
• Susan Marie Wish Devine, MA, ATR-BC
• Don Sealock, O.D., P.a. (Mound Eye Clinic)
• Daniel Paul Doshan, M.A., L.P.

• Chiropractor in Mound, MN
• Providers in Mound, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.