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DR. MICHAEL JOHN DIBLEY JR. D.C.,C.C.S.P
NPI 1245363696
Chiropractor - Sports Physician in Elkhart, IN

Active since March 14, 2007
1709 E BRISTOL ST, ELKHART, IN 46514(574) 264-9174(574) 262-4070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael John Dibley Jr. D.c.,c.c.s.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOHN DIBLEY JR. D.C.,C.C.S.P (NPI 1245363696) is an individual sports physician in Elkhart, Indiana, licensed in Indiana (08000910) and active in the NPI registry since March 2007. He is a graduate of Other (1983).

NPPES Registry Identity

NPI1245363696
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. MICHAEL JOHN DIBLEY JR.Credential: D.C.,C.C.S.P
Location Address1709 E BRISTOL STElkhart, IN 46514-6606
Mailing Address1709 E. Bristol St.Elkhart, IN 46514-6606 · (574) 264-9174 · Fax (574) 262-4070
Phone(574) 264-9174
Fax(574) 262-4070
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245363696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IN · 08000910
Definition
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.
1709 E BRISTOL ST, Elkhart, IN 46514
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Other Identifiers 2

Medicare ID-Type Unspecified225360IN
Medicare UPINT34626IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael John Dibley Jr. D.c.,c.c.s.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870654932
PECOS Enrollment IDI20081208000244

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
834 services87 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHOLE BODY CHIROPRACTIC LLC
Chiropractor
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (157) 426-4917
CONNOR TIMOTHY UTLEY DC
Chiropractor
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 264-9174
RAY OF LIGHT HOLISTIC HEALTH, INC.
Massage Therapist
1709 E BRISTOL ST, SUITE B
ELKHART, IN 46514
Elkhart County (574) 264-2600
DR. ANDREW GERARD DIBLEY D.C.
Chiropractor (Sports Physician)
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 264-9174
ADVANCE SPINE AND FUNCTION LLC
Chiropractor
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 264-9174
MICHAEL J. DIBLEY, D.C., P.C.
Chiropractor
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 264-9174
ANDREW G. DIBLEY, D.C., P.C.
Chiropractor
1709 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 264-9174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Dibley's NPI number?

The NPI number for Michael Dibley is 1245363696. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Michael Dibley located?

Michael Dibley practices at 1709 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 264-9174.

What is Michael Dibley's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Michael Dibley enrolled in Medicare?

Yes. Michael Dibley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Dibley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.