Provider Demographics
NPI:1497051130
Name:DICE HEALTH PLLC
Entity Type:Organization
Organization Name:DICE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. CORTNEY DICE, D.C. CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-381-6960
Mailing Address - Street 1:5324 MCFARLAND RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6865
Mailing Address - Country:US
Mailing Address - Phone:919-381-6960
Mailing Address - Fax:919-381-6962
Practice Address - Street 1:5324 MCFARLAND RD
Practice Address - Street 2:SUITE 130
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6865
Practice Address - Country:US
Practice Address - Phone:919-381-6960
Practice Address - Fax:919-381-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3978111N00000X
PAAJ009813225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADI2102923OtherHIGHMARK BLUE SHIELD
PA2102923OtherKEYSTONE HEALTH PLAN WEST