Individual provider Active NPI

Damien Christopher Sickles, DC

  • Chiropractor
  • Hilliard, OH
National Provider Identifier
1225071426
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2875 Issued in OH
Practice address
3615 Fishinger Blvd
Hilliard, OH 43026-7559
Phone
(614) 767-1000
Fax
(614) 767-1002
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2875 OH Primary

Addresses

Primary practice location

3615 Fishinger Blvd
Hilliard, OH 43026-7559

Mailing address

3615 Fishinger Blvd
Hilliard, OH 43026-7559
Phone (614) 767-1000

Other identifiers 1

IdentifierTypeStateIssuer
2296555MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001331 OH Practitioner - Chiropractic 8729068770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mill Run Chiropractic Center IncGroup PAC ID 9133109184, 2 clinicians

Practice addresses (Care Compare)

3718 Ridge Mill Dr
Hilliard, OH 43026-9231
Phone (614) 767-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2875OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Run Chiropractic Center Inc. Chiropractor CurrentSince Jan 1, 2001 Accepting new patients
Urgent Care Services, LLC. CurrentSince Mar 26, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3714 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 767-1000

3718 Ridge Mill Dr
Hilliard, OH 43026
Phone (380) 400-4673

3615 Fishinger Blvd
Hilliard, OH 43026
Phone (614) 224-6420

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1225071426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267559",
            "telephone_number": "614-767-1000",
            "fax_number": "614-767-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267559",
            "telephone_number": "614-767-1000",
            "fax_number": "614-767-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLES",
        "first_name": "DAMIEN",
        "middle_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.