Amy M Diercks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06782 Issued in IA

Practice address

214 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1602

Phone

(319) 378-1515

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1154393403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LONDON WAY",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029517",
            "telephone_number": "319-210-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BLAIRS FERRY RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021602",
            "telephone_number": "319-378-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERCKS",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460469",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INC",
            "identifier": "38558",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Dewitt, D.C.
• Amandeep Singh Dhaliwal, M.D.
• Madeline Dickson
• Evan James Diehl, M.D.
• Ursula Anne Diehl, DDS
• Kathryn K Dierks, D.O.
• Paula Ann Diers, RD
• Matthew Dietz, D.C., C.C.S.P
• Nkurunziza Dieudonne
• Wahneta Tonn Dimmer, LMT

• Chiropractor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.