DIXON CHIROPRACTIC CENTER, PC (NPI# 1861678930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861678930 |
| Entity Type | Organization |
| Organization Name | DIXON CHIROPRACTIC CENTER, PC |
| Practice Address |
426 S Blanche St Mounds IL 62964-1108 |
| Practice Telephone | 6187456894 |
| Practice Fax Number | 6187456113 |
| Mailing Telephone | 6187456894 |
| Mailing Fax Number | 6187456113 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. DEWEY G DIXON JR. (OWNER) |
| Authorized Official Telephone | 6187456894 |
| Authorized Official Credential | DC, CCSP |
| Is Organization Subpart | Y |
| Parent Organization Name | DIXON CHIROPRACTIC CENTER, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
426 S BLANCHE ST |
| City | MOUNDS |
| State | IL |
| Zip Code | 62964-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215901236 | Dewey G Dixon Jr. | Chiropractor | 426 S Blanche St, Mounds, IL 62964-1108 | 2006-02-15 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIXON CHIROPRACTIC CENTER, PC.
| 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.