Active NPI
Joseph Michael Dik, D.C.
- Chiropractor
- Bentonville, AR
National Provider Identifier
1144266305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1665
- Practice address
- 3400 Macy Rd
Ste 30
Bentonville, AR 72712 - Phone
- (479) 273-5855
- Fax
- (479) 273-5010
- NPI assigned
- Jun 22, 2006
- 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 | 1665 | AR | Primary |
Addresses
Primary practice location
3400 Macy Rd
Ste 30
Bentonville, AR 72712
Mailing address
3400 Macy Rd
Ste 30
Bentonville, AR 72712
Phone (479) 273-5855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y637 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1665 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Dik Chiropractic P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Bentonville Chiropractic
- Chiropractor
- Bentonville, AR
- NPI 1891839742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144266305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 MACY RD",
"address_2": "STE 30",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712",
"telephone_number": "479-273-5855",
"fax_number": "479-273-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MACY RD",
"address_2": "STE 30",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712",
"telephone_number": "479-273-5855",
"fax_number": "479-273-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIK",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5Y637",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
- Dialysis Centers of Northwest Arkansas, LLC (Hidden Springs Dialysis Center)
- Dialysis Centers of Northwest Arkansas, LLC (Benton County Dialysis Center)
- Rodger C Dickinson Jr., M.D.
- Kristian Clymer Dietz, DDS
- Jaime Dietzen, LCSW
- Tessa Dilbeck, RBT
- Brittany Nicole Dillard, DNP, APRN, FNP-BC
- Jennifer Dillard, O.D.
- Anthony J Dinicola
- Sydney Dishner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.