Clinton Samuel Dickason, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6013 Issued in CO

Practice address

718 Wilcox St
Castle Rock, CO 80104-1741

Phone

(303) 688-2300

Fax

(303) 688-2325

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dickason Chiropractic PC

  • Chiropractor
  • Castle Rock, CO
  • NPI 1205981347
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1598817652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041741",
            "telephone_number": "303-688-2300",
            "fax_number": "303-688-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WILCOX ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041741",
            "telephone_number": "303-688-2300",
            "fax_number": "303-688-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKASON",
        "first_name": "CLINTON",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Ann Devine, MD
• Julie Dewitt
• Taylor Rose Deyonge, RBT
• Barbara Dible
• Dickason Chiropractic PC
• Janet L Diederichs, CMT
• Dani Dieffenbach
• Diehl Behavior Services, Inc
• Vicki Lynn Dihle, PA-C
• Dillon Companies LLC

• Chiropractor in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.