Individual provider Active NPI

Thomas Sickler

  • Chiropractor
  • Cheektowaga, NY
National Provider Identifier
1386021863
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012628-1 Issued in NY
Practice address
2448 Union Rd
Cheektowaga, NY 14227-2230
Phone
(716) 656-0200
Fax
(716) 656-0055
NPI assigned
May 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012628-1 NY Primary

Addresses

Primary practice location

2448 Union Rd
Cheektowaga, NY 14227-2230

Mailing address

2448 Union Rd
Cheektowaga, NY 14227-2230
Phone (716) 656-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410002303 NY Practitioner - Chiropractic 7315223112 Practice locations: Cheektowaga, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2448 Union Rd
Cheektowaga, NY 14227-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012628-1NYMDChiropractor
012628NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usrh D.C & P.T., P.C. Past Accepting new patients
Usrh D.C. & P.T., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1386021863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272230",
            "telephone_number": "716-656-0200",
            "fax_number": "716-656-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012628-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.