Pitman Chiropractic Clinics Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007928 Issued in IL

Legal business name

PITMAN CHIROPRACTIC CLINICS INC.

Practice address

122 E Everett St
Dixon, IL 61021-2140

Phone

(815) 285-0611

Fax

(815) 285-0124

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Trista L Pitman, DC.NPI 1326131293

Title

Owner

Phone

(815) 285-0611

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Trista L Pitman, D.C. D.I.C.C.P.

  • Chiropractor
  • Dixon, IL
  • NPI 1326131293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1962522888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-285-0611",
            "fax_number": "815-285-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E EVERETT ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212140",
            "telephone_number": "815-285-0611",
            "fax_number": "815-285-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN CHIROPRACTIC CLINICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "PITMAN",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-285-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38007928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Pietryga
• Steven R Piller, D.C.
• Novin Pishevar, DMD
• Pitkin Family Chiropractic Inc.
• Kenneth Wayne Pitkin, DC
• Trista L Pitman, D.C. D.I.C.C.P.
• Brandi Marie Pitts
• Megan Podkulski, RBT
• Brandon Pollard
• Peter John Popovich, O.D.

• Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.