Individual provider Active NPI

Susan Schneiderman Sykes, DC

  • Chiropractor
  • Clemmons, NC
National Provider Identifier
1285622134
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1681 Issued in NC
Practice address
2505 Neudorf Rd
Clemmons, NC 27012-9229
Phone
(336) 766-0888
Fax
(336) 766-0608
NPI assigned
Oct 13, 2005
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1681 NC Primary

Addresses

Primary practice location

2505 Neudorf Rd
Clemmons, NC 27012-9229

Mailing address

2505 Neudorf Rd
Clemmons, NC 27012-9229
Phone (336) 766-0888

Other practice location 1

505 Greentree Dr
Greensboro, NC 27410-4918
Phone (336) 909-2114

Other identifiers 2

IdentifierTypeStateIssuer
08736OtherNCBLUE CROSS/BLUE SHIELD
8908736MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000536 NC Practitioner - Chiropractic 6305843400 Practice locations: Clemmons, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2505 Neudorf Rd
Clemmons, NC 27012-9229
Phone (336) 766-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1681NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1285622134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NEUDORF RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129229",
            "telephone_number": "336-766-0888",
            "fax_number": "336-766-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NEUDORF RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129229",
            "telephone_number": "336-766-0888",
            "fax_number": "336-766-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Greentree Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274104918",
            "country_code": "US",
            "telephone_number": "336-909-2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "SUSAN",
        "middle_name": "SCHNEIDERMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "08736",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908736",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.