Active NPI
Devon Hickam, DC
- Chiropractor
- Spokane, WA
National Provider Identifier
1609645977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 61491400
- Practice address
- 915 E Hawthorne Rd
Spokane, WA 99218-1482 - Phone
- (509) 413-2302
- NPI assigned
- Dec 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 61491400 | WA | Primary |
Addresses
Primary practice location
915 E Hawthorne Rd
Spokane, WA 99218-1482
Mailing address
6447 Timber Dr
Nine Mile Falls, WA 99026-9559
Phone (509) 789-0157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12727 W 14TH Ave
Airway Heights, WA 99001-9409
Phone (509) 244-4818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61491400 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Plains Chiropractic, PS | Chiropractor | Current | Accepting new patients |
| Eric Dudenhofer Arnp PS | Current | Accepting new patients |
Locations
12727 W 14th Ave
Airway Hgts, WA 99001
Phone (509) 244-4818
Organizations & group practices 2
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.
-
- Chiropractor
- Airway Heights, WA
- NPI 1336283662
-
dba Mid River Skin Clinic
- Family Nurse Practitioner
- Clarkston, WA
- NPI 1245767631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1609645977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6447 TIMBER DR",
"city": "NINE MILE FALLS",
"state": "WA",
"postal_code": "990269559",
"telephone_number": "509-789-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E HAWTHORNE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181482",
"telephone_number": "509-413-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKAM",
"first_name": "DEVON",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "61491400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.