Active NPI
Dean A. Nelson, D.C.
- Chiropractor
- Beecher, IL
National Provider Identifier
1093712499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9982028 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005269 | IL | MD | Chiropractor |
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.