Active NPI
Arnie Ray Hicks Jr., DC
- Chiropractor
- Martin, TN
National Provider Identifier
1124164199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001533
- Practice address
- 101 Hwy 431
Martin, TN 38237 - Phone
- (731) 587-6613
- Fax
- (731) 587-9491
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001533 | TN | Primary |
Addresses
Primary practice location
101 Hwy 431
Martin, TN 38237
Mailing address
101 Hwy 431
Martin, TN 38237
Phone (731) 587-6613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2486202 | Other | CIGNA COMMUCIDENT | |
| 3125569 | Other | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Hwy 431
Martin, TN 38237-8264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001533 | TN | MD | Chiropractor |
| 1533 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hicks Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
101 Highway 431
Martin, TN 38237
Phone (731) 587-3030
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Martin, TN
- NPI 1255668463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124164199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HWY 431",
"city": "MARTIN",
"state": "TN",
"postal_code": "38237",
"telephone_number": "731-587-6613",
"fax_number": "731-587-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HWY 431",
"city": "MARTIN",
"state": "TN",
"postal_code": "38237",
"telephone_number": "731-587-6613",
"fax_number": "731-587-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ARNIE",
"middle_name": "RAY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA COMMUCIDENT",
"identifier": "2486202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "3125569",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.