Individual provider Active NPI

Dawn R.B. Chapman, D.C.

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1932193232
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1408 Issued in TN
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
350050500OtherTNRAIL ROAD MEDICARE
3150787OtherTNBLUE CROSS BLUE SHEILD
3679079MedicaidTN

Other names 1

  • Dr. Dawn R.B. Cadwallader Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731002957 TN Practitioner - Chiropractic 3476620402 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408TNMDMarriage & Family Therapist
DC1408TNMDChiropractor
4349-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Associates, PC CurrentSince Sep 30, 2024 Accepting new patients
Back to Health Plus, PLLC Chiropractor Past Accepting new patients
Piney Flats Chiropractic Center PastSince Dec 1, 2025 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.

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.

Verify at the official NPI Registry.