Samuel Sickmeyer PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8389 Issued in AZ

Legal business name

SAMUEL SICKMEYER PLLC

Doing business as

VALLEYCHIROPRACTICANDWELLNESSCENTER

Practice address

8765 W Kelton LN Ste 150
Peoria, AZ 85382-5010

Phone

(623) 979-2582

Fax

(623) 979-3577

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Samuel David Sickmeyer, D.C.NPI 1538586623

Title

Owner

Phone

(623) 979-2582

Specialties & licenses 1

Addresses

Other names 1

• VALLEYCHIROPRACTICANDWELLNESSCENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Sickmeyer, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1538586623
  NPD Authorized official
• Darren John Grozier, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1275625279
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1427442656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 150",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825010",
            "telephone_number": "623-979-2582",
            "fax_number": "623-979-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 150",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825010",
            "telephone_number": "623-979-2582",
            "fax_number": "623-979-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SICKMEYER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "SICKMEYER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-979-2582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEYCHIROPRACTICANDWELLNESSCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Salem
• Mark P. Salerno, M.D.
• Nancy I Salinas Burgett, BCBA
• Salter Springs Assisted Living, LLC
• Samantha Samora, DPT
• Jason Michael Samuelian, D.O.
• Heidi Sanborn, RN
• Cristina Sanchez
• John Sanchez
• Marisela Sanchez, LMT

• Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.