Healthcare Provider Details

I. General information

NPI: 1437648870
Provider Name (Legal Business Name): DAWN TYA CHAPIN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 W DUNKERTON RD
WATERLOO IA
50703-9648
US

IV. Provider business mailing address

PO BOX 133
CAMANCHE IA
52730-0133
US

V. Phone/Fax

Practice location:
  • Phone: 877-674-1211
  • Fax:
Mailing address:
  • Phone: 860-857-5864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number132003
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: