Bret Derek Lickteig, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05378 Issued in KS

Practice address

17202 Midland Dr
Shawnee, KS 66217-8901

Phone

(913) 268-8300

Fax

(913) 268-8390

NPI assigned

Mar 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swickard Chiropractic Clinic of Shawnee, PAGroup PAC ID 1052323953, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Swickard Chiropractic Clinic of Shawnee, P.a.

  • Chiropractor
  • Shawnee, KS
  • NPI 1124085907
  Medicare reassignment Care Compare group NPD
• Valley Falls Chiropractic Clinic

  • Chiropractor
  • Valley Falls, KS
  • NPI 1942593835
  NPD (past) Authorized official

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1144529561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178901",
            "telephone_number": "913-268-8300",
            "fax_number": "913-268-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178901",
            "telephone_number": "913-268-8300",
            "fax_number": "913-268-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICKTEIG",
        "first_name": "BRET",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dina Lester, RN
• Snyah Faith Lewis
• Yulin Li
• Deborah Lynn Lidzy, LPC
• Shelly Lien, CPTA
• Life and Lemons Counseing, LLC
• Life Takes Adjustments
• Lifeworks Chiropractic PA

• Chiropractor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.

Verify at the official NPI Registry.