Individual provider Active NPI

Lee C Dimick, D.C.

  • Sports Physician Chiropractor
  • Golden, CO
National Provider Identifier
1811077308
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2000 Issued in CO
Practice address
2801 Youngfield St Ste 311
Golden, CO 80401-0210
Phone
(303) 232-1232
Fax
(303) 234-9643
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2000 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 311
Golden, CO 80401-0210

Mailing address

2801 Youngfield St Ste 311
Golden, CO 80401-0210
Phone (303) 232-1232

Other practice location 1

11220 W Colfax Ave
Lakewood, CO 80215-3702
Phone (303) 232-1232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000724 CO Practitioner - Chiropractic 8921181553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Youngfield St
Suite 311
Golden, CO 80401-0210
Phone (303) 232-1232

2801 Youngfield St
Suite 311
Golden, CO 80401-2263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Westland Chiropractic Center, P.C. Sports Physician CurrentSince Oct 1, 2007 Accepting new patients

Locations

2801 Youngfield St
Ste 311
Golden, CO 80401
Phone (303) 232-1232

11220 W Colfax Ave
Lakewood, CO 80215
Phone (303) 232-0588

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1811077308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 311",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010210",
            "telephone_number": "303-232-1232",
            "fax_number": "303-234-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 311",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010210",
            "telephone_number": "303-232-1232",
            "fax_number": "303-234-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 W Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802153702",
            "country_code": "US",
            "telephone_number": "303-232-1232",
            "fax_number": "303-234-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMICK",
        "first_name": "LEE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.