Active NPI
Shane E Sikes, DC
- Chiropractor
- Lady Lake, FL
National Provider Identifier
1386024743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11456
- Practice address
- 809 CR 466
C-301
Lady Lake, FL 32159-3215 - Phone
- (352) 732-5590
- NPI assigned
- Jun 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11456 | FL | Primary |
Addresses
Primary practice location
809 CR 466
C-301
Lady Lake, FL 32159-3215
Mailing address
1541 SE 17 St
Lake City Spine & Injury
Ocala, FL 34471
Phone (386) 754-2821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11456 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1386024743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 SE 17 ST",
"address_2": "LAKE CITY SPINE & INJURY",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "386-754-2821",
"fax_number": "386-438-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CR 466",
"address_2": "C-301",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593215",
"telephone_number": "352-732-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKES",
"first_name": "SHANE",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Shannon Floyd DPM PA
- Shantinath Villages Pulmonary and Sleep Center PLLC
- Kayla Marcia Sheffield, PHARMD, RPH
- Brian Shin, DDS
- Pablo J Sierra-Duque, DMD
- Donna Isadora Silver, LMHC, CAP
- Dannielle Silvis
- Kalena Kidd Singleton, LMT
- Smirnoff Neurology PA (Village Neurology Center)
- Alexander J Smirnoff, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.