Organization Active NPI

Dicks Chiropractic and Acupuncture Offices Inc

  • Chiropractor
  • Morton, IL
National Provider Identifier
1003035650
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007714 Issued in IL
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

Updated by the provider on Sep 15, 2016

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.NPI 1588634869
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
038007714OtherILIL LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110111000196 IL Part B Supplier - Clinic/Group Practice 0941499784 Receives reassigned benefits from 1 practitioner
Practice locations: Morton, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.