Trista L Pitman, D.C. D.I.C.C.P.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007928 Issued in IL

Practice address

122 E Everett St
Dixon, IL 61021-2140

Phone

(815) 285-0611

Fax

(815) 285-0124

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Trista Lynette Johns Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pitman Chiropractic Clinics Inc.

  • Chiropractor
  • Dixon, IL
  • NPI 1962522888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1326131293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-285-0611",
            "fax_number": "815-285-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-285-0611",
            "fax_number": "815-285-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "TRISTA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "D.C. D.I.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTA",
            "last_name": "JOHNS",
            "middle_name": "LYNETTE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven R Piller, D.C.
• Novin Pishevar, DMD
• Pitkin Family Chiropractic Inc.
• Kenneth Wayne Pitkin, DC
• Pitman Chiropractic Clinics Inc.
• Brandi Marie Pitts
• Megan Podkulski, RBT
• Brandon Pollard
• Peter John Popovich, O.D.
• Whitney Poulter

• Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.