Organization Active NPI

Brian S. Hicks D.C. Inc PC

Doing business as Bixby Chiropractic Clinic

  • Chiropractor
  • Bixby, OK
National Provider Identifier
1265601900
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3715 Issued in OK
Legal business name
BRIAN S. HICKS D.C. INC PC
Doing business as
Bixby Chiropractic Clinic
Practice address
7100 E 151St St S
Bixby, OK 74008-4137
Phone
(918) 366-4461
Fax
(918) 366-4460
NPI assigned
Feb 27, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Dr. Brian Scott Hicks, D.C.NPI 1205998150
Title
Owner/Doctor
Phone
(918) 366-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3715 OK Primary

Addresses

Primary practice location

7100 E 151St St S
Bixby, OK 74008-4137

Mailing address

7100 E 151St St S
Bixby, OK 74008-4137
Phone (918) 366-4461

Other names 1

  • Bixby Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000271 OK Part B Supplier - Clinic/Group Practice 0042388837 Receives reassigned benefits from 3 practitioners
Practice locations: Bixby, OK; Sapulpa, OK

National Provider Directory

National Provider Directory
Tax ID family
Bixby Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 E 151st St S
Bixby, OK 74008
Phone (918) 366-4461

7100 E 151st St S
#C
Bixby, OK 74008
Phone (918) 366-4461

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1265601900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E 151ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084137",
            "telephone_number": "918-366-4461",
            "fax_number": "918-366-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 E 151ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084137",
            "telephone_number": "918-366-4461",
            "fax_number": "918-366-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN S. HICKS D.C. INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "918-366-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bixby Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.