Active NPI
Dicks Chiropractic and Acupuncture Offices Inc
- Chiropractor
- Morton, IL
National Provider Identifier
1003035650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007714
- Legal business name
- DICKS CHIROPRACTIC AND ACUPUNCTURE OFFICES INC
- Practice address
- 1600 S 4TH Ave
Suite 135
Morton, IL 61550-2889 - Phone
- (309) 263-5588
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric N Dicks, D.C.
- Title
- President
- Phone
- (309) 263-5588
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007714 | IL | Primary |
Addresses
Primary practice location
1600 S 4TH Ave
Suite 135
Morton, IL 61550-2889
Mailing address
1600 S 4TH Ave
Suite 135
Morton, IL 61550-2889
Phone (309) 263-5588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038007714 | Other | IL | IL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110111000196 | IL | Part B Supplier - Clinic/Group Practice | 0941499784 |
Receives reassigned benefits from 1 practitioner Practice locations: Morton, IL |
National Provider Directory
National Provider DirectoryLocations
1600 S 4th Ave
Ste 135
Morton, IL 61550
Phone (309) 263-2481
601 S Main St
Morton, IL 61550
Phone (309) 263-5588
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Morton, IL
- NPI 1588634869
-
- Chiropractor
- Peoria, IL
- NPI 1437250040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473897600000",
"number": "1003035650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 4TH AVE",
"address_2": "SUITE 135",
"city": "MORTON",
"state": "IL",
"postal_code": "615502889",
"telephone_number": "309-263-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 4TH AVE",
"address_2": "SUITE 135",
"city": "MORTON",
"state": "IL",
"postal_code": "615502889",
"telephone_number": "309-263-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKS CHIROPRACTIC AND ACUPUNCTURE OFFICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2016-09-15",
"status": "A",
"authorized_official_last_name": "DICKS",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-263-5588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038007714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE NUMBER",
"identifier": "038007714",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.