NPIMap

Individual provider Active NPI

David Thomas Dolwig, DC

  • Chiropractor
  • Elizabethtown, KY
National Provider Identifier
1861601528
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5091 Issued in KY
Practice address
907 N. Mulberry St.
Elizabethtown, KY 42701-2033
Phone
(270) 505-1087
Fax
(270) 505-1239
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5856 CO
Chiropractor 111N00000X 29940 CA
Chiropractor 111N00000X 5091 KY Primary
Chiropractor 111N00000X 038011001 IL

Addresses

Primary practice location

907 N. Mulberry St.
Elizabethtown, KY 42701-2033

Mailing address

907 N. Mulberry St.
Elizabethtown, KY 42701-2033
Phone (270) 505-1087

Other identifiers 1

IdentifierTypeStateIssuer
7100042060MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011001ILMDChiropractor
5091KYMDDentist
29940CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Chiropractic Center Inc Chiropractor Past Accepting new patients
Elmer F True DC PSC Chiropractor Past Accepting new patients
Walker Wellness PLLC Chiropractor PastSince Jul 1, 2018 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1861601528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N. MULBERRY ST.",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012033",
            "telephone_number": "270-505-1087",
            "fax_number": "270-505-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N. MULBERRY ST.",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012033",
            "telephone_number": "270-505-1087",
            "fax_number": "270-505-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLWIG",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5856",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29940",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5091",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100042060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.