Individual provider Active NPI

Peter Don Dickinson, D.C.

  • Chiropractor
  • Denham Springs, LA
National Provider Identifier
1912200866
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1568 Issued in LA
Practice address
516 N Range Ave
Denham Springs, LA 70726-2932
Phone
(225) 665-3969
Fax
(225) 665-8139
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1568 LA Primary

Addresses

Primary practice location

516 N Range Ave
Denham Springs, LA 70726-2932

Mailing address

516 N Range Ave
Denham Springs, LA 70726-2932
Phone (225) 665-3969

Other practice location 1

5960 Losee Rd Ste 124
North Las Vegas, NV 89081-6202
Phone (225) 281-0269

Other practice location 2

11750 Bricksome Ave Ste B
Baton Rouge, LA 70816-5332
Phone (225) 281-0269

Other practice location 3

1111 S Foster Dr Bldg G
Baton Rouge, LA 70806-7238
Phone (225) 281-0269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000077 LA Practitioner - Chiropractic 9032373709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickinson Chiropractic LLCGroup PAC ID 3173991635, 2 clinicians

Practice addresses (Care Compare)

11750 Bricksome Ave
Baton Rouge, LA 70816-5331
Phone (225) 295-3494

516 N Range Ave
Denham Springs, LA 70726-2932
Phone (225) 665-3969

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Chiropractic of Nevada, LLC Chiropractor CurrentSince Jan 12, 2024 Accepting new patients
Dickinson Chiropractic LLC CurrentSince Nov 1, 2022 Accepting new patients
Adam Reeves DC a Professional Chiropractic Corporation Chiropractor PastSince Jul 17, 2022 Accepting new patients

Locations

11750 Bricksome Ave
Ste B
Baton Rouge, LA 70816
Phone (225) 281-0269

516 N Range Ave
Denham Springs, LA 70726
Phone (225) 665-3969

5960 Losee Rd
Ste 124
North Las Vegas, NV 89081
Phone (225) 281-0269

Organizations & group practices 3

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1912200866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262932",
            "telephone_number": "225-665-3969",
            "fax_number": "225-665-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262932",
            "telephone_number": "225-665-3969",
            "fax_number": "225-665-8139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 Losee Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890816202",
            "country_code": "US",
            "telephone_number": "225-281-0269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 Bricksome Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708165332",
            "country_code": "US",
            "telephone_number": "225-281-0269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 S Foster Dr Bldg G",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708067238",
            "country_code": "US",
            "telephone_number": "225-281-0269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "PETER",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.