DR. DEWEY G DIXON JR. (NPI# 1215901236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215901236 |
| Entity Type | Individual |
| Full Name | DR. DEWEY G DIXON JR. |
| Credential | D.C. |
| Practice Address |
426 S Blanche St Mounds IL 62964-1108 |
| Practice Telephone | 6187456894 |
| Practice Fax Number | 6187456113 |
| Mailing Telephone | 6187456894 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
38-005019 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 131779 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 7782002 | 01 |
| Street Address |
426 S BLANCHE ST |
| City | MOUNDS |
| State | IL |
| Zip Code | 62964-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861678930 | Dixon Chiropractic Center, PC | Chiropractor | 426 S Blanche St, Mounds, IL 62964-1108 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043319148 | County of Pulaski | Ambulance | 75 Camo Clad Dr, Pulaski County Ambulance, Mounds, IL 62964 | 2006-09-22 |
| 1316038938 | Gordon D Holden | Physical Therapist | 120 N Front St, Cairo Rehab & Fit for Golf Inc, Mounds, IL 62964-1022 | 2006-09-27 |
| 1144418138 | Cairo Rehab & Fit Fore Golf Inc | Physical Therapist | 120 N Front St, Mounds, IL 62964-1022 | 2007-10-04 |
| 1760420327 | Diversified Rehab Services, LLC | Clinic/Center | 429 S Blanche St, Suite 210, Mounds, IL 62964-1107 | 2006-06-03 |
| 1932140720 | Elly Nelson | Physical Therapist | 429 S Blanche St, Mounds, IL 62964-1107 | 2006-06-10 |
| 1972805919 | Delta Center, Inc | Clinic/Center | 130 Richland Ter, Mounds, IL 62964-1233 | 2010-11-24 |
| 1841726767 | Shakarra Childress | Nurse's Aide | 4109 Us Highway 51, Mounds, IL 62964-2208 | 2017-05-11 |
| 1194994814 | Meridian Cusd #101 | Local Education Agency (LEA) | 208 Valley Rd, Mounds, IL 62964-2322 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841726767 | Shakarra Childress | Nurse's Aide | 4109 Us Highway 51, Mounds, IL 62964-2208 | 2017-05-11 |
| 1427503549 | Kristan Osten | Speech-Language Pathologist | 1184 N 160 Rd, Mounds, OK 74047-5504 | 2016-08-18 |
| 1962870048 | Misty Bilby | Case Manager/Care Coordinator | 17225 S 89th West Ave, Mounds, OK 74047-4127 | 2015-09-08 |
| 1467856153 | David Deere | Public Health or Welfare | 17713 S Sante Fe Pl, Mounds, OK 74047 | 2014-10-09 |
| 1063849263 | Janie Leann Matney | Counselor | 15155 English Rd, Mounds, OK 74047-3937 | 2013-10-02 |
| 1427391143 | Samantha Jo Jerrell | Counselor | 7831 W 182nd St South, Mounds, OK 74047 | 2013-04-01 |
| 1548512825 | Kimberly Marie Motley | Counselor | 10245 Hectorville Rd, Mounds, OK 74047-4249 | 2012-10-10 |
| 1326337999 | Nick Vernier | Marriage & Family Therapist | 1375 Shortcut Rd, Mounds, OK 74047 | 2011-04-04 |
| 1205139052 | Deandra L Mcdonald | Occupational Therapy Assistant | 622 Mcnabb, Mounds, OK 74047-0698 | 2010-12-17 |
| 1972805919 | Delta Center, Inc | Clinic/Center | 130 Richland Ter, Mounds, IL 62964-1233 | 2010-11-24 |
| Find all providers in MOUNDS | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535531 | Dr. Carrie Skony, LLC | Chiropractor | 3080 Ogden Ave Ste 202, Lisle, IL 60532-1694 | 2020-07-22 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
| 1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
| 1154689933 | Scott Family Chiropractic Clinic PC | Chiropractor | 4180 Rfd Ste 83, Suite 100, Long Grove, IL 60047-9580 | 2012-04-30 |
| 1891071114 | Nowicki Chiropractic Corporation | Chiropractor | 1841 Hicks Rd, Suite C, Rolling Meadows, IL 60008-1250 | 2011-11-01 |
| 1659652196 | Lauren Natalie Wills | Chiropractor | 1710 E 1st St, Sterling, IL 61081-2902 | 2011-08-29 |
| 1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
| 1356572564 | Josh Hover | Chiropractor | 8424 Skokie Blvd, Ste. 207, Skokie, IL 60077-2568 | 2009-08-05 |
| 1063685246 | Thomas Burton Sperry | Chiropractor | 2585 Ogden Ave, Downers Grove, IL 60515-1708 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.