Hicks Chiropractic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2728 Issued in NC

Legal business name

HICKS CHIROPRACTIC, P.A.

Practice address

610 Old Tar Village Rd Ste E
Winterville, NC 28590-7936

Phone

(252) 215-0990

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Lee Hicks Jr., D.C.

Title

President

Phone

(252) 412-2005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Gary Lee Draper, DC

  • Chiropractor
  • Cornelius, NC
  • NPI 1265708028
  NPD (past)
• Dolphus Allen Thacker III, DC

  • Chiropractor
  • Durham, NC
  • NPI 1588963540
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1245334747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OLD TAR VILLAGE RD STE E",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-215-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OLD TAR VILLAGE RD STE E",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-215-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-412-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890839U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmony Care LLC.
• Harris Transport Solutions LLC
• Doneika Harris
• Healing Forward Wellness Center, PLLC
• Heavenly Blessed Home Care
• Kenneth Lee Hicks Jr., D.C.
• Jenna Hilgoe, BCBA
• Courtney Marie Holster, COTA/L
• Home Life Care Inc
• James Hood, EMT-PARAMEDIC

• Clinic/Center in Winterville, NC
• Providers in Winterville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.