Individual provider Active NPI

Nicholas James Swickard, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1447803630
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105990 Issued in KS
Practice address
15050 Antioch Rd Ste 102
Overland Park, KS 66221-8503
Phone
(913) 897-6717
Fax
(913) 897-6795
NPI assigned
Jul 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105990 KS Primary

Addresses

Primary practice location

15050 Antioch Rd Ste 102
Overland Park, KS 66221-8503

Mailing address

15050 Antioch Rd Ste 102
Overland Park, KS 66221-8503
Phone (913) 897-6717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127001398 KS Practitioner - Chiropractic 7315370657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swickard Chiropractic Clinic, CharteredGroup PAC ID 7911907233, 2 clinicians

Practice addresses (Care Compare)

15050 Antioch Rd
Suite 102
Overland Park, KS 66221-8503
Phone (913) 897-6717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105990KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Swickard Chiropractic Clinic, Chartered Chiropractor CurrentSince Oct 15, 2019 Accepting new patients

Locations

15050 Antioch Rd
Ste 1
Overland Park, KS 66221

15050 Antioch Rd
Ste 102
Overland Park, KS 66221
Phone (913) 897-6717

Organizations & group practices 1

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1447803630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ANTIOCH RD STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218503",
            "telephone_number": "913-897-6717",
            "fax_number": "913-897-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 ANTIOCH RD STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218503",
            "telephone_number": "913-897-6717",
            "fax_number": "913-897-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWICKARD",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.