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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dirks Chiropractic Center PC

  • Chiropractor
  • Council Bluffs, IA
  • NPI 1962467522
  Authorized official Same address or phone

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• James Davin Dickerson, ARNP
• Mark Dickey
• 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

• Chiropractor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• 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.