Organization Active NPI

Dr. Diane Dicker, D.C. , Uscc

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1306037064
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4870 Issued in GA
Legal business name
DR. DIANE DICKER, D.C. , USCC
Practice address
141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251
Phone
(404) 257-0310
Fax
(404) 257-0310
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Diane Dicker, D. C.
Title
General Manager
Phone
(404) 257-0310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4870 GA Primary

Addresses

Primary practice location

141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251

Mailing address

141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251
Phone (404) 257-0310

Other identifiers 1

IdentifierTypeStateIssuer
1902990732OtherGAPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

141 W Wieuca Rd NE
Ste 100A
Atlanta, GA 30342
Phone (404) 257-0310

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1306037064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W WIEUCA RD NE",
            "address_2": "SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423251",
            "telephone_number": "404-257-0310",
            "fax_number": "404-257-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W WIEUCA RD NE",
            "address_2": "SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423251",
            "telephone_number": "404-257-0310",
            "fax_number": "404-257-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DIANE DICKER, D.C. , USCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "DICKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "404-257-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "4870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1902990732",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.