Kenneth Todd Hicks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556394 Issued in VA

Practice address

1999 S Main St
Suite 305-a
Blacksburg, VA 24060-6634

Phone

(540) 552-3671

Fax

(540) 552-3741

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak Performance Chiropractic Inc

  • Chiropractor
  • Blacksburg, VA
  • NPI 1235247420
  NPD (past) Authorized official
• North Marion Family Chiropractic

  • Chiropractor
  • Mannington, WV
  • NPI 1932298734
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1245298439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST",
            "address_2": "SUITE 305-A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606634",
            "telephone_number": "540-552-3671",
            "fax_number": "540-552-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 S MAIN ST",
            "address_2": "SUITE 305-A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606634",
            "telephone_number": "540-552-3671",
            "fax_number": "540-552-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KENNETH",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556394",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hernandez, LPC
• Crystallyn Anne Heron, LCSW
• Emily Taylor Hiatt, DPT
• Daniel E Hickling, PT
• Maja Hickman
• Sarah Elisabeth Hill, LCSW
• Ashley Hilton, LPC
• Deana Joanne Hinson, LCSW
• Dionisio Ernesto Hipolito, MD
• Ann Hively, LPC

• Chiropractor in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.