Active NPI
James Edward Dicey III, DC
- Chiropractor
- Tigard, OR
National Provider Identifier
1215122536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2757
- Practice address
- 14050 SW Pacific Hwy
#101
Tigard, OR 97223 - Phone
- (503) 684-3101
- NPI assigned
- Sep 10, 2007
- Last updated
- Sep 10, 2007
- 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 | 2757 | OR | Primary |
Addresses
Primary practice location
14050 SW Pacific Hwy
#101
Tigard, OR 97223
Mailing address
PO Box 231058
Tigard, OR 97281
Phone (503) 684-3101
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2757 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1215122536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231058",
"city": "TIGARD",
"state": "OR",
"postal_code": "97281",
"telephone_number": "503-684-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 SW PACIFIC HWY",
"address_2": "#101",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-684-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICEY",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.