Stanley Albert Dirks, M.S., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04944 Issued in IA

Practice address

1601 McPherson Ave
Council Bluffs, IA 51503-5167

Phone

(712) 328-1625

Fax

(712) 388-0389

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053461608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HAZEL ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035048",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035167",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "STANLEY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208868",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic & Int Med Assoc PC
• James Davin Dickerson, ARNP
• Avery Justine Dickinson, PT, DPT
• Mindy Jane Dickinson, O.D.
• Dirks Chiropractic Center PC
• Windy J Disalvo, LMSW, PLMHP (FOR NEB
• Anton Alexandre Diy, D.D.S.
• Linda Kay Dollen, MS, NCC, MHC
• Alyssa Dorhout, PHARMD
• Casie I Dorr, CNM

• All providers in Council Bluffs, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.