Active NPI
Matthew McKay Hicken, D.C.
- Rehabilitation Chiropractor
- Ft Worth, TX
National Provider Identifier
1154544328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8136
- Practice address
- 1100 Bridgewood Dr.
Suite 108
Ft Worth, TX 76112 - Phone
- (817) 727-4690
- Fax
- (817) 727-4695
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 8136 | TX | Primary |
Addresses
Primary practice location
1100 Bridgewood Dr.
Suite 108
Ft Worth, TX 76112
Mailing address
1100 Bridgewood Dr.
Suite 108
Ft Worth, TX 76112
Phone (817) 727-4690
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1154544328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BRIDGEWOOD DR.",
"address_2": "SUITE 108",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "817-727-4690",
"fax_number": "817-727-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BRIDGEWOOD DR.",
"address_2": "SUITE 108",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "817-727-4690",
"fax_number": "817-727-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEN",
"first_name": "MATTHEW",
"middle_name": "MCKAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "8136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.