Dickson Clinic of Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1245 Issued in NC

Legal business name

DICKSON CLINIC OF CHIROPRACTIC PA

Practice address

2909 Reynolda Rd
Winston Salem, NC 27106-3048

Phone

(336) 777-8450

Fax

(336) 777-8435

NPI assigned

Sep 21, 2006

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Dickson, DC

Title

Owner

Phone

(336) 777-8540

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• William E. Moody, D.C.

  • Chiropractor
  • Winston Salem, NC
  • NPI 1295966604
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1922106863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063048",
            "telephone_number": "336-777-8450",
            "fax_number": "336-777-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063048",
            "telephone_number": "336-777-8450",
            "fax_number": "336-777-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON CLINIC OF CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-777-8540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908351",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "08351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Dickens, MS, LPC
• Emily Anne Dickens, OTR/L
• Kent Ryan Hardee Dickerson, MD
• Paul J Dickinson, MD
• Sarah Dickman, MS
• Felicitas Lourdes Dickson, M.D.
• George Dicola I, ST
• Kevin Charles Diehl, MD
• Lucas Alan Dietrich, PA
• Trent Walker Dietsche, DO

• Chiropractor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.