Dana Lynne Wickman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

#588-0200 Issued in NH

Practice address

13 Red Roof LN
Suite 2-B
Salem, NH 03079-2929

Phone

(603) 890-0574

Fax

(603) 898-9949

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dana Lynne Keaney Professional name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1033266960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 YORK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872305",
            "telephone_number": "603-898-0021",
            "fax_number": "603-898-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RED ROOF LN",
            "address_2": "SUITE 2-B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792929",
            "telephone_number": "603-890-0574",
            "fax_number": "603-898-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKMAN",
        "first_name": "DANA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "#588-0200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "KEANEY",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mikayla White
• Rene Marie White, FNP-BC
• Sarah White, LPN
• Veronica Whitermore, LMHC
• James A Whitlock, M.D.
• Kina Wilbur Kamien, PT, DPT
• John Neil Wile
• Kenneth Lynly Wilkerson
• Sarah Wilkins, MD CF-SLP
• William H. Edwards M.D. PC

• Chiropractor in Salem, NH
• Providers in Salem, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.