Active NPI
Tracy Marie Dilly, D.C.
- Chiropractor
- Sauk Centre, MN
National Provider Identifier
1285657882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4818
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4818 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Lake Higgins, PC | Chiropractor | Past | Accepting new patients |
| Minnesota Disc Institute, PA | Chiropractor | Past | Accepting new patients |
| Del Carmen Marketing | Past | 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.
-
- Primary Care Clinic/Center
- Sauk Centre, MN
- NPI 1891813184
-
- Chiropractor
- Sauk Centre, MN
- NPI 1689053225
-
- Chiropractor
- Edina, MN
- NPI 1396966057
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.