EDWARD J DYSON (DC) – Internist Chiropractor, NPI 1417997529

EDWARD J DYSON (DC) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. DC005560L (PA). The NPI Number for EDWARD J DYSON (DC) is 1417997529

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J DYSON (DC)
NPI
1417997529
Phone
Not provided
Address
9251 ROOSEVELT BLVD
Enumeration Date
7 June 2006
Last Update Date
25 April 2008

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
8568751515
Graduation Year
1993 (33 years ago)
PAC ID
1951376383
Group Practice PAC ID
3577739036
Professional Enrollment ID
I20150223001718
Address ID
NJ080812626SI504XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,950 CHIROPRACTIC in PA

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Provider Addresses for EDWARD J DYSON (DC)

  • 9251, Roosevelt Boulevard, Bustleton, Northeast Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19115, United States

    PHILADELPHIA, PA 191142205

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150223001718IChiropracticNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577739036View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ
C H I R O P R A C T I CNJ
C H I R O P R A C T I CNJ

Reviews

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Frequently asked questions

What is the registry number for EDWARD J DYSON (DC)?
The registry entry for EDWARD J DYSON (DC) shows NPI 1417997529.
Should I treat EDWARD J DYSON (DC) as an active provider?
Patients and plans typically see EDWARD J DYSON (DC) as active in the national extract.
How should patients interpret EDWARD J DYSON (DC)'s specialty?
The extract shows Internist Chiropractor for EDWARD J DYSON (DC). Clinical services aligned with this taxonomy classification.
Can patients visit EDWARD J DYSON (DC) in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for EDWARD J DYSON (DC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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