Active NPI
James Scott Hicks, LAC
- Chiropractor
- Rochester, MN
National Provider Identifier
1124805437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2236753
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2236753 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northgate Health Clinic, P.a. | Chiropractor | Current | 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.
-
- Chiropractor
- Rochester, MN
- NPI 1720153745
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.