Individual provider Active NPI

David Richard Dirks, D.C.

  • Chiropractor
  • Washington, NC
National Provider Identifier
1376597682
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2267 Issued in NC
Practice address
360 Cherry Run Ctr
Washington, NC 27889-4173
Phone
(252) 362-0189
Fax
(252) 495-0032
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4969 MN
Chiropractor 111N00000X 2267 NC Primary

Addresses

Primary practice location

360 Cherry Run Ctr
Washington, NC 27889-4173

Mailing address

360 Cherry Run Ctr
Washington, NC 27889-4173
Phone (252) 362-0189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130111000414 NC Practitioner - Chiropractic 5395800916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 W Arlington Blvd
Suite 100
Greenville, NC 27834-5735
Phone (252) 751-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4969MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dirks Chiropractic Inc Chiropractor CurrentSince Dec 19, 2011 Accepting new patients
Broadway Chiropractic Center, PC Chiropractor Past Accepting new patients
Brown Chiropractic Group PC Chiropractor Past Accepting new patients
Hammer Chiropractic Inc Chiropractor PastSince May 1, 1997 Accepting new patients
Washington Chiropractic Group, PC Chiropractor Past Accepting new patients

Locations

3551 Chicago Ave
Minneapolis, MN 55407
Phone (612) 767-9900

304 W Arlington Blvd
Ste 100
Greenville, NC 27834
Phone (252) 751-0660

360 Cherry Run Ctr
Washington, NC 27889
Phone (252) 362-0189

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1376597682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CHERRY RUN CTR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894173",
            "telephone_number": "252-362-0189",
            "fax_number": "252-495-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CHERRY RUN CTR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894173",
            "telephone_number": "252-362-0189",
            "fax_number": "252-495-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4969",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.