Individual provider Active NPI

Sydney Constance Bickmeyer, DC

  • Pediatric Chiropractor
  • Chandler, AZ
National Provider Identifier
1306569652
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
9214 Issued in AZ
Practice address
2100 S Gilbert Rd Ste 22
Chandler, AZ 85286-1589
Phone
(480) 712-1020
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 9214 AZ Primary

Addresses

Primary practice location

2100 S Gilbert Rd Ste 22
Chandler, AZ 85286-1589

Mailing address

1906 E Marquette Dr
Gilbert, AZ 85234-4916
Phone (314) 262-5234

Other practice location 1

1906 E Marquette Dr
Gilbert, AZ 85234-4916
Phone (314) 262-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9214AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1306569652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 E MARQUETTE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344916",
            "telephone_number": "314-262-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S GILBERT RD STE 22",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861589",
            "telephone_number": "480-712-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 E Marquette Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852344916",
            "country_code": "US",
            "telephone_number": "314-262-5234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKMEYER",
        "first_name": "SYDNEY",
        "middle_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "AZ",
            "license": "9214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.