Active NPI
Terry R Hicks, MD
- Psychiatry Physician
- Rapid City, SD
National Provider Identifier
1124017629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2472
- Practice address
- 350 Elk St
Rapid City, SD 57701-7351 - Phone
- (605) 343-7262
- Fax
- (605) 343-7293
- NPI assigned
- Oct 18, 2005
- Last updated
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2472 | SD | Primary |
Addresses
Primary practice location
350 Elk St
Rapid City, SD 57701-7351
Mailing address
350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1124017629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ELK ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017351",
"telephone_number": "605-343-7262",
"fax_number": "605-343-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "TERRY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "2472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
- Heynen-Cronin Mental Health & Wellness Services, LLC
- Heather J. Heynen-Cronin, MS, LPC-MH, QMHP
- Ann Palmer Hibbs, MD
- Jessica Hicks, MS OTR/L
- Kristen Michelle Hicks
- Jessica Higgins
- High Plains Physical Therapy Associates Inc
- Higher Ground Health Care PLLC (Higher Ground Health Care)
- Audra Hill, MSW/CSW-PIP
- Briana Hill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.