Individual provider Active NPI

Steven B Dickert, D.C.

  • Chiropractor
  • Dayton, NJ
National Provider Identifier
1619973898
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC02937 Issued in NJ
Practice address
58 Wetherhill Way
Dayton, NJ 08810-1610
Phone
(732) 329-2255
Fax
(732) 329-2228
NPI assigned
Jun 22, 2005
Last updated
Oct 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC02937 NJ Primary
Chiropractor 111N00000X X003329 NY

Addresses

Primary practice location

58 Wetherhill Way
Dayton, NJ 08810-1610

Mailing address

58 Wetherhill Way
Dayton, NJ 08810-1610
Phone (732) 329-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000260 NJ Practitioner - Chiropractic 4183640428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fischer Chiropractor Center, a Professional AssociationGroup PAC ID 9032245519, 3 clinicians

Practice addresses (Care Compare)

320 White Horse Ave
Trenton, NJ 08610-1412
Phone (609) 585-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC02937NJMDChiropractor
X003329NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Chiropractor Center, a Professional Association Chiropractor CurrentSince Sep 24, 2018 Accepting new patients

Locations

320 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 525-9222

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, 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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1619973898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 WETHERHILL WAY",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101610",
            "telephone_number": "732-329-2255",
            "fax_number": "732-329-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WETHERHILL WAY",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101610",
            "telephone_number": "732-329-2255",
            "fax_number": "732-329-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERT",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02937",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.