Organization Active NPI

Dickinson Chiropractic, PC

Doing business as Dickinson Family Chiropractic

  • Chiropractor
  • Evansville, IN
National Provider Identifier
1851443360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DICKINSON CHIROPRACTIC, PC
Doing business as
Dickinson Family Chiropractic
Practice address
3101 N Green River Rd
Suite 110
Evansville, IN 47715-1369
Phone
(812) 491-7777
Fax
(812) 491-7877
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Benjamin B Dickinson, DCNPI 1801900097
Title
President
Phone
(812) 491-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X IN Primary

Addresses

Primary practice location

3101 N Green River Rd
Suite 110
Evansville, IN 47715-1369

Mailing address

3101 N Green River Rd
Suite 110
Evansville, IN 47715-1369
Phone (812) 491-7777

Other names 1

  • Dickinson Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000607 IN Part B Supplier - Clinic/Group Practice 6305741166 Receives reassigned benefits from 2 practitioners
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

3101 N Green River Rd
Ste 110
Evansville, IN 47715
Phone (812) 491-7777

3101 N Green River Rd
Ste 850
Evansville, IN 47715
Phone (812) 491-7777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851443360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD",
            "address_2": "SUITE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151369",
            "telephone_number": "812-491-7777",
            "fax_number": "812-491-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N GREEN RIVER RD",
            "address_2": "SUITE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477151369",
            "telephone_number": "812-491-7777",
            "fax_number": "812-491-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-491-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickinson Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.