Organization Active NPI

Hickey Chiropractic Center Inc.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1356645824
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9005; Issued in FL
Legal business name
HICKEY CHIROPRACTIC CENTER INC.
Practice address
301 Clematis St Ste 3000
West Palm Beach, FL 33401-4609
Phone
(561) 603-3454
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Leslie Grace Hickey, DCNPI 1285797720
Title
President Owner
Phone
(561) 603-3454

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 CH9005; FL Primary

Addresses

Primary practice location

301 Clematis St Ste 3000
West Palm Beach, FL 33401-4609

Mailing address

4300 S Jog Rd Unit 540611
Greenacres, FL 33454-5028
Phone (561) 603-3454

National Provider Directory

National Provider Directory

Locations

4300 S Jog Rd
Unit 540611
Greenacres, FL 33454

301 Clematis St
Ste 3000
West Palm Beach, FL 33401
Phone (347) 432-8608

2695 N Military Trl
Ste 2
West Palm Beach, FL 33409
Phone (561) 603-3454

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": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1356645824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S JOG RD UNIT 540611",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334545028",
            "telephone_number": "561-603-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CLEMATIS ST STE 3000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014609",
            "telephone_number": "561-603-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKEY CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "561-603-3454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9005;",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.