Individual provider Active NPI

James Scott Hicks, LAC

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1124805437
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2236753 Issued in MN
Practice address
600 11TH Ave NW
Rochester, MN 55901-1805
Phone
(507) 285-1677
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2236753 MN Primary

Addresses

Primary practice location

600 11TH Ave NW
Rochester, MN 55901-1805

Mailing address

836 7TH Ave SE
Rochester, MN 55904-7334
Phone (763) 360-7672

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@northgatechiropractic.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2236753MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northgate Health Clinic, P.a. Chiropractor CurrentSince Sep 17, 2023 Accepting new patients

Locations

600 11th Ave NW
Rochester, MN 55901
Phone (507) 285-1677

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1124805437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 7TH AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047334",
            "telephone_number": "763-360-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 11TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011805",
            "telephone_number": "507-285-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2236753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@northgatechiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 11th Ave NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559011805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.