Organization Active NPI

Dimick Family Chiropractic, LLC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1912384868
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002058A Issued in IN
Legal business name
DIMICK FAMILY CHIROPRACTIC, LLC
Practice address
8202 Clearvista Pkwy Ste 9D
Indianapolis, IN 46256-1457
Phone
(317) 578-7544
Fax
(317) 578-9604
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Jeffrey M Dimick, MD
Title
DC
Phone
(317) 578-7544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002058A IN Primary

Addresses

Primary practice location

8202 Clearvista Pkwy Ste 9D
Indianapolis, IN 46256-1457

Mailing address

8202 Clearvista Pkwy Ste 9D
Indianapolis, IN 46256-1457
Phone (317) 578-7544

National Provider Directory

National Provider Directory

Locations

8202 Clearvista Pkwy
Ste 9D
Indianapolis, IN 46256
Phone (317) 578-7544

Practitioners & affiliated clinicians

Practitioners 1

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": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1912384868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 9D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561457",
            "telephone_number": "317-578-7544",
            "fax_number": "317-578-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 9D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561457",
            "telephone_number": "317-578-7544",
            "fax_number": "317-578-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMICK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "DIMICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "317-578-7544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.