Individual provider Active NPI

Robyn Marie Dieckmann, D.C.

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1609205848
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012381 Issued in IL
Practice address
310 S County Farm Rd
Suite F
Wheaton, IL 60187-2409
Phone
(630) 784-8500
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012381 IL Primary
Chiropractor 111N00000X DC010712 PA

Addresses

Primary practice location

310 S County Farm Rd
Suite F
Wheaton, IL 60187-2409

Mailing address

310 S County Farm Rd
Suite F
Wheaton, IL 60187-2409
Phone (630) 784-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038012381ILMDChiropractor
DC010712PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirosolutions, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1609205848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD",
            "address_2": "SUITE F",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872409",
            "telephone_number": "630-784-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD",
            "address_2": "SUITE F",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872409",
            "telephone_number": "630-784-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIECKMANN",
        "first_name": "ROBYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012381",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.