Brian L. Dickinson, DC, ATC, CPT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013786 Issued in NY

Practice address

3237 Union St
North Chili, NY 14514-1129

Phone

(585) 617-4145

Fax

(585) 617-4158

NPI assigned

Dec 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1659149243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 UNION ST",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141129",
            "telephone_number": "585-617-4145",
            "fax_number": "585-617-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 UNION ST",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145141129",
            "telephone_number": "585-617-4145",
            "fax_number": "585-617-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC, ATC, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073220091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Dingus, M.S., NCSP
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• Eckerd Corporation
• Judy Englert

• Chiropractor in North Chili, NY
• Providers in North Chili, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.