Individual provider Active NPI

Tracy Marie Dilly, D.C.

  • Chiropractor
  • Sauk Centre, MN
National Provider Identifier
1285657882
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4818 Issued in MN
Practice address
857 Main St S
Sauk Centre, MN 56378-1646
Phone
(320) 352-5227
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4818 MN Primary

Addresses

Primary practice location

857 Main St S
Sauk Centre, MN 56378-1646

Mailing address

16278 141St Ave
Osakis, MN 56360-4575
Phone (952) 240-3564

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

LicenseStateTypeSpecialty
4818MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Lake Higgins, PC Chiropractor PastSince Jul 1, 2015 Accepting new patients
Minnesota Disc Institute, PA Chiropractor Past Accepting new patients
Del Carmen Marketing PastSince Jan 1, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1285657882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16278 141ST AVE",
            "city": "OSAKIS",
            "state": "MN",
            "postal_code": "563604575",
            "telephone_number": "952-240-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MAIN ST S",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781646",
            "telephone_number": "320-352-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLY",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Centre, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.