Sides Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1218 Issued in NC

Legal business name

SIDES CHIROPRACTIC PA

Practice address

1570 Westbrook Plaza Dr
Winston-Salem, NC 27103

Phone

(336) 774-0209

Fax

(336) 774-0905

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Reich Sides, DCNPI 1992792337

Title

President

Phone

(336) 774-0209

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ricky R Sides DC Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky Reich Sides, DC

  • Chiropractor
  • Winston-Salem, NC
  • NPI 1992792337
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1245327451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WESTBROOK PLAZA DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-774-0209",
            "fax_number": "336-774-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WESTBROOK PLAZA DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-774-0209",
            "fax_number": "336-774-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDES CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "REICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-774-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0252L",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890252L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ricky R Sides DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Shuster, P-LCSW
• Thomas Edwin Sibert, MD
• Amn Siddiqi, MBBS
• Mustafa S Siddiqui, MD
• Nadia Siddiqui, D.D.S.
• Ricky Reich Sides, DC
• Paige Elisabeth Sidwell
• Martha Ann Sieber, D.O.
• Leah M Sieren, MD
• Jennifer Sigmon, MA, CCC-SLP

• Chiropractor in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.