Individual provider Active NPI

Emily Dickman, DC

  • Chiropractor
  • Marion, IL
National Provider Identifier
1093465049
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013849 Issued in IL
Practice address
1616 W Main St Ste 200
Marion, IL 62959-1146
Phone
(618) 694-9797
NPI assigned
Mar 24, 2022
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013849 IL Primary

Addresses

Primary practice location

1616 W Main St Ste 200
Marion, IL 62959-1146

Mailing address

508 Marquette Dr
Louisville, KY 40222-6740
Phone (618) 694-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330001441 IL Practitioner - Chiropractic 4082088265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 N Van Buren St
Marion, IL 62959-2335
Phone (618) 694-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013849ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Family Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Louisville Family Chiropractic, LLC Chiropractor PastSince Mar 1, 2022 Accepting new patients

Locations

301 N Van Buren St
Marion, IL 62959
Phone (618) 694-9797

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1093465049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MARQUETTE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226740",
            "telephone_number": "618-694-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W MAIN ST STE 200",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591146",
            "telephone_number": "618-694-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "EMILY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.