Individual provider Active NPI

Dean A. Nelson, D.C.

  • Chiropractor
  • Beecher, IL
National Provider Identifier
1093712499
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
643 S Dixie Hwy
Unit 2
Beecher, IL 60401-3666
Phone
(708) 946-3166
Fax
(708) 946-2207
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

643 S Dixie Hwy
Unit 2
Beecher, IL 60401-3666

Mailing address

643 S Dixie Hwy
Unit 2
Beecher, IL 60401-3666
Phone (708) 946-3166

Other identifiers 1

IdentifierTypeStateIssuer
9982028OtherILBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000271 IL Practitioner - Chiropractic 3678607538 Practice locations: Beecher, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
West Coast Chiropractic College, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

643 Dixie Hwy
Beecher, IL 60401-3666
Phone (708) 946-3166

643 Dixie Hwy
Suite 3
Beecher, IL 60401-3667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-005269ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093712499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S DIXIE HWY",
            "address_2": "UNIT 2",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013666",
            "telephone_number": "708-946-3166",
            "fax_number": "708-946-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S DIXIE HWY",
            "address_2": "UNIT 2",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013666",
            "telephone_number": "708-946-3166",
            "fax_number": "708-946-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEAN",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9982028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beecher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.