Patrick J. Hickman D.C.P.S.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

2107 Issued in WA

Legal business name

PATRICK J. HICKMAN D.C.P.S.

Doing business as

Hickman Chiropractic and Wellness Clinic

Practice address

312 S Balsam St
Suite a
Moses Lake, WA 98837-1796

Phone

(509) 766-1283

Fax

(509) 766-0309

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J. Hickman, D.C.NPI 1629187216

Title

President/Chiropractor

Phone

(509) 766-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hickman Chiropractic and Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Patrick J. Hickman, D.C.

  • Nutrition Chiropractor
  • Moses Lake, WA
  • NPI 1629187216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1568644177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S BALSAM ST",
            "address_2": "SUITE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371796",
            "telephone_number": "509-766-1283",
            "fax_number": "509-766-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S BALSAM ST",
            "address_2": "SUITE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371796",
            "telephone_number": "509-766-1283",
            "fax_number": "509-766-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. HICKMAN D.C.P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "509-766-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "97567",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018661",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickman Chiropractic and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leonardo Paxtian-Ramirez, BA
• Adrianne Payne, RN
• Jennifer Pearson, FNP-C
• Carolyn Pence, CDPT
• Brandon Penix, D.O.

• Orthopedic Chiropractor in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Orthopedic Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.