Individual provider Active NPI

Tyler Edward Hicks, D.C.

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1386102242
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
T16219 Issued in AR
Practice address
13924 Cantrell Rd Ste C
Little Rock, AR 72223-1518
Phone
(501) 916-2585
Fax
(501) 916-2467
NPI assigned
Mar 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X T16219 AR Primary

Addresses

Primary practice location

13924 Cantrell Rd Ste C
Little Rock, AR 72223-1518

Mailing address

202 N Oak St
Sheridan, AR 72150-2132
Phone (870) 600-1213

Other practice location 1

202 N Oak St
Sheridan, AR 72150-2132
Phone (870) 600-1213

Other identifiers 1

IdentifierTypeStateIssuer
264603718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214000886 AR Practitioner - Chiropractic 2466864616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seh Holdings, PLLCGroup PAC ID 2668884818, 5 clinicians

Practice addresses (Care Compare)

109 W Pine St
Sheridan, AR 72150-2443
Phone (870) 600-1213

13924 Cantrell Rd
Suite C
Little Rock, AR 72223-1518
Phone (479) 236-7954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T16219ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seh Holdings, PLLC Chiropractor CurrentSince Jan 18, 2021 Accepting new patients
Teh Chiro PLLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
Jcas2, Inc. Chiropractor PastSince Sep 7, 2017 Accepting new patients

Locations

13924 Cantrell Rd
Ste C
Little Rock, AR 72223
Phone (479) 236-7954

202 N Oak St
Sheridan, AR 72150
Phone (870) 600-1213

109 W Pine St
Sheridan, AR 72150
Phone (870) 600-1213

Organizations & group practices 3

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1386102242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N OAK ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502132",
            "telephone_number": "870-600-1213",
            "fax_number": "501-747-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13924 CANTRELL RD STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231518",
            "telephone_number": "501-916-2585",
            "fax_number": "501-916-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "AR",
            "postal_code": "721502132",
            "country_code": "US",
            "telephone_number": "870-600-1213",
            "fax_number": "501-747-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TYLER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "T16219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264603718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.