Organization Active NPI

Dicus Chiropractic Clinic, P.C.

  • Chiropractor
  • Saint Charles, MO
National Provider Identifier
1174726459
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DICUS CHIROPRACTIC CLINIC, P.C.
Practice address
2241 Bluestone Dr
Saint Charles, MO 63303-6705
Phone
(636) 328-5762
Fax
(636) 724-1240
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Donald Wayne Dicus, D.C.
Title
Owner Chiropractor
Phone
(636) 328-5762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2241 Bluestone Dr
Saint Charles, MO 63303-6705

Mailing address

2003 Pleasant Valley Dr
Saint Charles, MO 63303-3867
Phone (636) 328-5762

National Provider Directory

National Provider Directory

Locations

2241 Bluestone Dr
Saint Charles, MO 63303
Phone (636) 925-1919

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1174726459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 PLEASANT VALLEY DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033867",
            "telephone_number": "636-328-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036705",
            "telephone_number": "636-328-5762",
            "fax_number": "636-724-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICUS CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "DICUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "636-328-5762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.