Organization Active NPI

Robert a Vickers DC PA Highlands Family Chiropractic

  • Chiropractor
  • Sebring, FL
National Provider Identifier
1356417356
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8373 Issued in FL
Legal business name
ROBERT A VICKERS DC PA HIGHLANDS FAMILY CHIROPRACTIC
Practice address
721 US Highway 27 S
Sebring, FL 33870-2169
Phone
(863) 382-8804
Fax
(863) 382-8401
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Mrs. Jessica Lei Vickers
Title
Office Accounts Manager
Phone
(863) 382-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8373 FL Primary

Addresses

Primary practice location

721 US Highway 27 S
Sebring, FL 33870-2169

Mailing address

721 US Highway 27 S
Sebring, FL 33870-2169
Phone (863) 382-8804

Other identifiers 1

IdentifierTypeStateIssuer
70728OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000503 FL Part B Supplier - Clinic/Group Practice 9830247790 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

721 US Highway 27 S
Sebring, FL 33870
Phone (863) 382-8804

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1356417356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702169",
            "telephone_number": "863-382-8804",
            "fax_number": "863-382-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702169",
            "telephone_number": "863-382-8804",
            "fax_number": "863-382-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A VICKERS DC PA HIGHLANDS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "OFFICE ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "863-382-8804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70728",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.