Andrew W Dykeman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010073 Issued in IL

Practice address

33 East Airline Drive
East Alton, IL 62024

Phone

(618) 259-2676

Fax

(618) 259-2679

NPI assigned

May 23, 2006

Last updated

Aug 4, 2012By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344038400000",
    "number": "1952356578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 EAST AIRLINE DRIVE",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-259-2676",
            "fax_number": "618-259-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 EAST AIRLINE DRIVE",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-259-2676",
            "fax_number": "618-259-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKEMAN",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "664129",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010073",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6032097",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia H Dormans, LCSW
• Kelly Dorris
• Robert Duane Douglas, D.M.D., M.S.
• Draper Chiropractic LLC
• Siera Mae Draper, DC
• East Alton Elem SCH Dist 13
• Stacey Egan
• Dennis Engelmann, DDS
• Tania Evans, CRADC
• Faccin Chiropractic, PC

• Chiropractor in East Alton, IL
• Providers in East Alton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.