DR. THOMAS KEVIN DICKERSON (NPI# 1548300163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548300163 |
| Entity Type | Individual |
| Full Name | DR. THOMAS KEVIN DICKERSON |
| Credential | D.C., D.I.C.C.P. |
| Practice Address |
2362 Washington Rd Washington IL 61571-1855 |
| Practice Telephone | 3097458612 |
| Mailing Telephone | 3097458612 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023309952 | Thomas Dallin Dickerson | Counselor | 717 W 1850 N, Provo, UT 84604-1416 | 2011-04-26 |
| Street Address |
2362 WASHINGTON RD |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043286503 | Brian D Frank | Chiropractor | 2362 Washington Rd, Washington, IL 61571 | 2006-02-24 |
| 1003215765 | Danielle Ummel | Mechanotherapist | 2362 Washington Rd, Washington, IL 61571-1855 | 2014-08-19 |
| 1932508785 | Jodi Cunningham | Mechanotherapist | 2362 Washington Rd, Washington, IL 61571-1855 | 2014-08-18 |
| 1154502961 | Chad E Vandevelde | Chiropractor | 2362 Washington Rd, Washington, IL 61571-1855 | 2007-11-20 |
| 1215021761 | Marianne Hoyle | Chiropractor | 2362 Washington Rd, Washington, IL 61571-1855 | 2006-10-02 |
| 1477563815 | Frank Chiropractic Center PC | Chiropractor | 2362 Washington Rd, Washington, IL 61571-1855 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1821696683 | Kelly Ann Kimball | Chiropractor | 2450 Virginia Ave Nw Apt E619, Washington, DC 20037-2667 | 2020-10-14 |
| 1497353676 | Alexander Ruth | Chiropractor | 650 Pennsylvania Ave Se Ste 470, Washington, DC 20003-4412 | 2020-10-11 |
| 1629694526 | Razieh Shoorab | Chiropractor | 1712 I St Nw Ste 110, Washington, DC 20006-3702 | 2020-06-17 |
| 1093289373 | Finn Chiropractic Washington Pllc | Chiropractor | 382 W Chestnut St Ste 103, Washington, PA 15301-4642 | 2019-01-19 |
| 1902392384 | Daniel James Osborn | Chiropractor | 1444 I St Nw Ste Ll, Washington, DC 20005-2216 | 2018-07-09 |
| 1487141198 | Megan Rebecca Hullihen | Chiropractor | 4708 Wisconsin Ave Nw Ste 101, Washington, DC 20016-4644 | 2018-04-18 |
| 1528562428 | Lauren Grace Moss | Chiropractor | 1385 Washington Rd Ste 100, Washington, PA 15301-9674 | 2018-03-23 |
| 1629570619 | Metro Sports and Rehab, LLC | Chiropractor | 700 19th St Nw Rm O-711, Washington, DC 20431-0001 | 2018-03-06 |
| 1295233583 | Alpha Chiropractic, Pllc | Chiropractor | 610 W 15th St Ste 10, Washington, NC 27889-3527 | 2018-02-01 |
| 1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
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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.