NPIMap

Organization Active NPI

Dawn Injury & Wellness Center PLLC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1932318573
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
720 Issued in WV
Legal business name
DAWN INJURY & WELLNESS CENTER PLLC
Practice address
923 Emerson Ave
Parkersburg, WV 26101-2526
Phone
(304) 428-9355
Fax
(304) 428-2565
NPI assigned
May 21, 2007
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Callie Rader, DCNPI 1982770830
Title
Chiropractor/Owner
Phone
(304) 428-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 720 WV Primary

Addresses

Primary practice location

923 Emerson Ave
Parkersburg, WV 26101-2526

Mailing address

923 Emerson Ave
Parkersburg, WV 26101-2526
Phone (304) 428-9355

Other identifiers 5

IdentifierTypeStateIssuer
7776862OtherWVCIGNA
1063297OtherWVWORKER'S COMPENSATION
2202096-000MedicaidWV
001712610OtherWVBCBS
2202096000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000380 WV Part B Supplier - Clinic/Group Practice 1951446053 Receives reassigned benefits from 6 practitioners
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

4 Rosemar Cir
Uppr
Parkersburg, WV 26104
Phone (304) 482-9355

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1932318573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012526",
            "telephone_number": "304-428-9355",
            "fax_number": "304-428-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012526",
            "telephone_number": "304-428-9355",
            "fax_number": "304-428-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN INJURY & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "304-428-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7776862",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "1063297",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202096-000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001712610",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202096000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.