Active NPI
Nathan Dicken, D.C.
- Chiropractor
- Thief River Falls, MN
National Provider Identifier
1841518644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5364
- Practice address
- 1544 Hwy 59 S.E.
Thief River Falls, MN 56701-0387 - Phone
- (218) 681-4574
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5364 | MN | Primary |
Addresses
Primary practice location
1544 Hwy 59 S.E.
Thief River Falls, MN 56701-0387
Mailing address
PO Box 387
Thief River Falls, MN 56701-0387
Phone (218) 681-4574
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5364 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Lake Spine & Sport, PA | Chiropractor | Past | Accepting new patients |
| Integrated Care Clinics, PA | 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 and National Provider Directory roles.
-
dba Great River Spine & Sport
- Physical Therapist
- Monticello, MN
- NPI 1396775110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1841518644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 387",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567010387",
"telephone_number": "218-681-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 HWY 59 S.E.",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567010387",
"telephone_number": "218-681-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEN",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thief River Falls, MN
- Dakota Clinic, LTD. (Dakota Clinic, LTD. Thief River Falls)
- Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Thief River Falls)
- Daniel R. Vandeventer, Inc. (Hometown Hearing Solutions)
- Terrence Robert Demars, LICSW
- Dicken PA
- Tracey Dillon, RD, LRD
- Thomas Peter Dimich, DDS
- Mark Andre Dupont, MA LP LADC
- David Edwards
- Michael Dale Eickman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.