Justin Dickover, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557684 Issued in VA

Practice address

14509 Battery Ridge LN
Centreville, VA 20120-2882

Phone

(571) 926-5081

NPI assigned

May 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Palmercare Chiropractic Falls Church LLC

  • Chiropractor
  • Falls Church, VA
  • NPI 1326582479

  DC

  Medicare reassignment NPD
• Palmercare Chiropractic Leesburg Inc

  • Chiropractor
  • Leesburg, VA
  • NPI 1114561495
  Medicare reassignment NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1922682301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14509 BATTERY RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14509 BATTERY RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202882",
            "telephone_number": "571-926-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKOVER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devantrax Med Sollutions LLC
• Shriyam Dhakal, LCSW
• Melissa Anne Dhas, NP
• Diana O'Brien, LCSW. Med, LLC
• Seyed Omid Dianat
• Cris Antao Digamo, LAB TECHNICIAN
• Margaret Mary Divincenzo, M.S.
• Divine Touch Home Health
• DMV Counseling Consulting & Coaching
• Brittany Danielle Dodson, IBCLC

• Chiropractor in Centreville, VA
• Providers in Centreville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.