Active NPI
Patrick J. Hickman, D.C.
- Nutrition Chiropractor
- Moses Lake, WA
National Provider Identifier
1629187216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH00002107
- Practice address
- 312 S. Balsam St.
Ste a
Moses Lake, WA 98837 - Phone
- (509) 766-1283
- Fax
- (509) 766-0306
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH00002107 | WA | Primary |
Addresses
Primary practice location
312 S. Balsam St.
Ste a
Moses Lake, WA 98837
Mailing address
312 S Balsam St Ste a
Moses Lake, WA 98837-1796
Phone (509) 766-1283
Other names 1
- Dr. Patrick J. Hickman
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
- Palmer College Chiropractic - West Sunnyvale, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
312 S Balsam St a
Moses Lake, WA 98837-1796
Phone (509) 766-1293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick J. Hickman D.C.P.S. | Current | Accepting new patients |
Locations
312 S Balsam St
Ste A
Moses Lake, WA 98837
Phone (509) 766-1283
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hickman Chiropractic and Wellness Clinic
- Orthopedic Chiropractor
- Moses Lake, WA
- NPI 1568644177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629187216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S BALSAM ST STE A",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371796",
"telephone_number": "509-766-1283",
"fax_number": "509-766-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S. BALSAM ST.",
"address_2": "STE A",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "98837",
"telephone_number": "509-766-1283",
"fax_number": "509-766-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "PATRICK",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WA",
"license": "CH00002107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICK",
"last_name": "HICKMAN",
"middle_name": "J.",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.