Dirks Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04944 Issued in IA

Legal business name

DIRKS CHIROPRACTIC CENTER PC

Practice address

1601 McPherson Ave
Council Bluffs, IA 51503

Phone

(712) 328-1625

Fax

(712) 388-0389

NPI assigned

Apr 18, 2006

Organization subpart

No

Name

Stanley Albert Dirks, MS DC

Title

Pres Sec Treas

Phone

(712) 328-1625

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Lee Player, D.C.

  • Chiropractor
  • Council Bluffs, IA
  • NPI 1003034190
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962467522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MCPHERSON AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-1625",
            "fax_number": "712-388-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRKS CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRES SEC TREAS",
        "authorized_official_telephone_number": "712-328-1625",
        "authorized_official_credential": "MS DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208868",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20886",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE PIN",
            "identifier": "22690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UHC",
            "identifier": "35005194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPREHS",
            "identifier": "3602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Devoss, M.D.
• Diagnostic & Int Med Assoc PC
• James Davin Dickerson, ARNP
• Avery Justine Dickinson, PT, DPT
• Mindy Jane Dickinson, O.D.
• Stanley Albert Dirks, M.S., D.C.
• Windy J Disalvo, LMSW, PLMHP (FOR NEB
• Anton Alexandre Diy, D.D.S.
• Linda Kay Dollen, MS, NCC, MHC
• Alyssa Dorhout, PHARMD

• All providers in Council Bluffs, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.