Individual provider Active NPI

Dean Edward Wiggers, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1326114414
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002187A Issued in IN
Practice address
11650 Olio Rd 100
Fishers, IN 46037-7621
Phone
(317) 577-1744
Fax
(317) 577-1760
NPI assigned
Nov 28, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002187A IN Primary

Addresses

Primary practice location

11650 Olio Rd 100
Fishers, IN 46037-7621

Mailing address

11650 Olio Rd 100
Fishers, IN 46037-7621
Phone (317) 577-1744

Other identifiers 1

IdentifierTypeStateIssuer
200532610MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000549 IN Practitioner - Chiropractic 9537116553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11650 Olio Rd
Suite 100
Fishers, IN 46037-7621
Phone (317) 577-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002187AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Creek Chiropractic LLC Chiropractor CurrentSince May 1, 2005 Accepting new patients
One 2 One Physical Therapy Past Accepting new patients

Locations

11650 Olio Rd
Ste 100
Fishers, IN 46037
Phone (317) 577-1744

11780 Olio Rd
Ste 200
Fishers, IN 46037
Phone (317) 577-1744

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1326114414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377621",
            "telephone_number": "317-577-1744",
            "fax_number": "317-577-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377621",
            "telephone_number": "317-577-1744",
            "fax_number": "317-577-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGERS",
        "first_name": "DEAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.