Individual provider Active NPI

Meghan Ann Dickerson, D.C

  • Chiropractor
  • Charlottesville, VA
National Provider Identifier
1841456381
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556648 Issued in VA
Practice address
103A Free Bridge LN
Charlottesville, VA 22911-8446
Phone
(434) 977-0777
Fax
(434) 977-8222
NPI assigned
Aug 4, 2008
Last updated
Dec 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556648 VA Primary

Addresses

Primary practice location

103A Free Bridge LN
Charlottesville, VA 22911-8446

Mailing address

103A Free Bridge LN
Charlottesville, VA 22911-8446
Phone (434) 977-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000334 VA Practitioner - Chiropractic 9638235617 Practice locations: Charlottesville, VA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Free Bridge LN
A
Charlottesville, VA 22911-8446

103 Free Bridge LN a
Charlottesville, VA 22911-8446
Phone (434) 977-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing at Home PastSince Feb 7, 2018 Accepting new patients
Hudson Chiropractic P.C. Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1841456381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A FREE BRIDGE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118446",
            "telephone_number": "434-977-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A FREE BRIDGE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118446",
            "telephone_number": "434-977-0777",
            "fax_number": "434-977-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MEGHAN",
        "middle_name": "ANN",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.