Active NPI
Emily Dickman, DC
- Chiropractor
- Marion, IL
National Provider Identifier
1093465049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013849
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013849 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Louisville Family Chiropractic, LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Marion, IL
- NPI 1578384657
-
- Chiropractor
- Louisville, KY
- NPI 1750508644
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.