Individual provider Active NPI

Diane Helen Dicker, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1902990732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
GA4870 Issued in GA
Practice address
141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251
Phone
(404) 257-0310
Fax
(404) 257-0310
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X GA4870 GA Primary

Addresses

Primary practice location

141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251

Mailing address

141 W Wieuca Rd NE
Suite 100a
Atlanta, GA 30342-3251
Phone (404) 257-0310

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

LicenseStateTypeSpecialty
GA4870GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902990732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W WIEUCA RD NE",
            "address_2": "SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423251",
            "telephone_number": "404-257-0310",
            "fax_number": "404-257-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W WIEUCA RD NE",
            "address_2": "SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423251",
            "telephone_number": "404-257-0310",
            "fax_number": "404-257-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKER",
        "first_name": "DIANE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "GA4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.