Active NPI
Dickinson Chiropractic LLC
- Clinic/Center
- Denham Springs, LA
National Provider Identifier
1083338206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Dickinson, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900H1889Z | Other | LA | BLUE CROSS LOUISIANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Denham Springs, LA
- NPI 1912200866
-
- Chiropractor
- New Iberia, LA
- NPI 1003294919
-
- Chiropractor
- Metairie, LA
- NPI 1881800225
-
- Chiropractor
- Baton Rouge, LA
- NPI 1932868411
-
- Chiropractor
- Denham Springs, LA
- NPI 1881237741
-
- Physical Therapist
- Port Allen, LA
- NPI 1104473925
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.