Individual provider Active NPI

David Robert Hickling, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Clinton TWP, MI
National Provider Identifier
1245645282
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101020970 Issued in MI
Practice address
36385 Harper Ave
Clinton TWP, MI 48035-2958
Phone
(586) 684-1900
Fax
(586) 684-1999
NPI assigned
Jun 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101020970 MI Primary

Addresses

Primary practice location

36385 Harper Ave
Clinton TWP, MI 48035-2958

Mailing address

36385 Harper Ave
Clinton TWP, MI 48035-2958
Phone (586) 684-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170718000096 MI Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 5991025454 Reassigns benefits to 1 organization
I20260420003422 AK Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 5991025454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan MSK Medicine PLLCGroup PAC ID 9234546896, 2 clinicians

Practice addresses (Care Compare)

109 S Main St
Rochester Hills, MI 48307-2032
Phone (586) 684-1900

36385 Harper Ave
Clinton TWP, MI 48035-2958
Phone (586) 684-1900

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan MSK Medicine PLLC Neuromusculoskeletal Medicine & Omm CurrentSince May 1, 2021 Accepting new patients
Goodhealth Chiropractic, PLC PastSince Oct 1, 2018 Accepting new patients

Locations

36385 Harper Ave
Clinton Twp, MI 48035
Phone (586) 684-1900

109 S Main St
Rochester Hills, MI 48307
Phone (248) 216-1008

Interoperability endpoints

  • Direct secure messaging: dhickling1089621@direct.hfhs.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1245645282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36385 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-684-1900",
            "fax_number": "586-684-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36385 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352958",
            "telephone_number": "586-684-1900",
            "fax_number": "586-684-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLING",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101020970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.