William David Tickel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5023 Issued in MN

Practice address

819 30TH Ave S
Suite 102
Moorhead, MN 56560-5000

Phone

(701) 429-3678

Fax

(877) 818-9672

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tickel Chiropractic PCGroup PAC ID 5991894693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tickel Chiropractic, P.C.

  • Chiropractor
  • Moorhead, MN
  • NPI 1811184120
  Medicare reassignment Care Compare group NPD Authorized official
• Tickel Chiropractic, P.C.

  • Chiropractor
  • Wilmington, NC
  • NPI 1508045477
  NPD (past) Authorized official
• John Paul Musser, Inc.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1710039987
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1629295498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 37TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606144",
            "telephone_number": "701-429-3678",
            "fax_number": "877-818-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S",
            "address_2": "SUITE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "701-429-3678",
            "fax_number": "877-818-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKEL",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Behavioral Network III, LLC
• Thrive Behavioral Network III, LLC
• Amy Tichy
• Tickel Chiropractic, P.C.
• Tammy Marie Tickel, D.C.
• Kathryn Davis Tidd
• John Michael Tinjum, M.D.
• Kebbeh Reed Tinnie, RN
• Jill Todd
• Seth Tollefson

• Chiropractor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.