NPIMap

Organization Active NPI

Sicilia

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1093870800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003110 Issued in WA
Legal business name
SICILIA
Practice address
611 W Garland Ave
Spokane, WA 99205-2956
Phone
(509) 489-2883
Fax
(509) 487-0898
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raymond Jerome Sicilia, DC CCSPNPI 1568536332
Title
Owner President
Phone
(509) 489-2883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003110 WA Primary

Addresses

Primary practice location

611 W Garland Ave
Spokane, WA 99205-2956

Mailing address

611 W Garland Ave
Spokane, WA 99205-2956
Phone (509) 489-2883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093870800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-489-2883",
            "fax_number": "509-487-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052956",
            "telephone_number": "509-489-2883",
            "fax_number": "509-487-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICILIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "509-489-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.