Organization Active NPI

Dickinson Chiropractic LLC

  • Clinic/Center
  • Denham Springs, LA
National Provider Identifier
1083338206
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DICKINSON CHIROPRACTIC LLC
Practice address
516 N Range Ave
Denham Springs, LA 70726-2932
Phone
(225) 665-3969
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Peter Dickinson, DCNPI 1912200866
Title
Owner
Phone
(225) 665-3969

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

516 N Range Ave
Denham Springs, LA 70726-2932

Mailing address

PO Box 83080
Baton Rouge, LA 70884-3080
Phone (225) 665-3969

Other practice location 1

9229 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-2808
Phone (225) 389-6294

Other practice location 2

11750 Bricksome Ave
Baton Rouge, LA 70816-5331
Phone (225) 295-3494

Other identifiers 1

IdentifierTypeStateIssuer
1900H1889ZOtherLABLUE CROSS LOUISIANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221115001895 LA Part B Supplier - Clinic/Group Practice 3173991635 Receives reassigned benefits from 6 practitioners
Practice locations: Denham Springs, LA; Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1083338206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83080",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708843080",
            "telephone_number": "225-665-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262932",
            "telephone_number": "225-665-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Bluebonnet Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102808",
            "country_code": "US",
            "telephone_number": "225-389-6294",
            "fax_number": "225-442-1456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 Bricksome Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708165331",
            "country_code": "US",
            "telephone_number": "225-295-3494",
            "fax_number": "225-248-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DICKINSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-665-3969",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LOUISIANA",
            "identifier": "1900H1889Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.