Active NPI
Dawn R.B. Chapman, D.C.
- Chiropractor
- Johnson City, TN
National Provider Identifier
1932193232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1408
- Practice address
- 306 Sunset Dr Ste 100
Johnson City, TN 37604-2492 - Phone
- (423) 926-8304
- Fax
- (423) 926-5976
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1408 | TN | |
| Chiropractor | 111N00000X | 4349-012 | WI | |
| Chiropractor | 111N00000X | DC1408 | TN | Primary |
Addresses
Primary practice location
306 Sunset Dr Ste 100
Johnson City, TN 37604-2492
Mailing address
162 Brandonwood Dr
Johnson City, TN 37604-2151
Phone (608) 630-3564
Other practice location 1
2410 Montana Ave
Sun Prairie, WI 53590-1617
Phone (608) 630-3564
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350050500 | Other | TN | RAIL ROAD MEDICARE |
| 3150787 | Other | TN | BLUE CROSS BLUE SHEILD |
| 3679079 | Medicaid | TN |
Other names 1
- Dr. Dawn R.B. Cadwallader
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200731002957 | TN | Practitioner - Chiropractic | 3476620402 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1408 | TN | MD | Marriage & Family Therapist |
| DC1408 | TN | MD | Chiropractor |
| 4349-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Healthcare Associates, PC | Current | Accepting new patients | |
| Back to Health Plus, PLLC | Chiropractor | Past | Accepting new patients |
| Piney Flats Chiropractic Center | Past | Accepting new patients | |
| Noble Choice Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
206 Princeton Rd
Ste 14
Johnson City, TN 37601
Phone (423) 283-4055
Organizations & group practices 5
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.
-
- Clinic/Center
- Piney Flats, TN
- NPI 1184575722
-
- Chiropractor
- De Forest, WI
- NPI 1063406379
-
- Chiropractor
- Sun Prairie, WI
- NPI 1154752954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1932193232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BRANDONWOOD DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042151",
"telephone_number": "608-630-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SUNSET DR STE 100",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042492",
"telephone_number": "423-926-8304",
"fax_number": "423-926-5976"
}
],
"practiceLocations": [
{
"address_1": "2410 Montana Ave",
"address_purpose": "LOCATION",
"city": "Sun Prairie",
"state": "WI",
"postal_code": "535901617",
"country_code": "US",
"telephone_number": "608-630-3564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "DAWN",
"middle_name": "R.B.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1408",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4349-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC1408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "350050500",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "3150787",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3679079",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "CADWALLADER",
"middle_name": "R.B.",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former 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 Mar 16, 2021; 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.