Organization Active NPI

Hicks Chiropractic LLC

  • Chiropractor
  • Prescott Valley, AZ
National Provider Identifier
1285805184
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7868 Issued in AZ
Legal business name
HICKS CHIROPRACTIC LLC
Practice address
3050 N Navajo Dr
Ste 103
Prescott Valley, AZ 86314-8663
Phone
(928) 759-0696
Fax
(928) 759-2022
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Andrew Forrest Hicks, D.C.NPI 1457531279
Title
Member
Phone
(928) 759-0696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7868 AZ Primary

Addresses

Primary practice location

3050 N Navajo Dr
Ste 103
Prescott Valley, AZ 86314-8663

Mailing address

3050 N Navajo Dr
Ste 103
Prescott Valley, AZ 86314-8663
Phone (928) 759-0696

National Provider Directory

National Provider Directory

Locations

3050 N Navajo Dr
Ste 103
Prescott Vly, AZ 86314
Phone (520) 759-0696

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1285805184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N NAVAJO DR",
            "address_2": "STE 103",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148663",
            "telephone_number": "928-759-0696",
            "fax_number": "928-759-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N NAVAJO DR",
            "address_2": "STE 103",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148663",
            "telephone_number": "928-759-0696",
            "fax_number": "928-759-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-759-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.