Active NPI
James Edward Hicks, D.C.
- Chiropractor
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557201
- Practice address
- 1461 W Main St
Salem, VA 24153-3120 - Phone
- (540) 375-9220
- Fax
- (434) 793-9315
- NPI assigned
- Dec 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557201 | VA | Primary |
| Chiropractor | 111N00000X | 4710 | NC |
Addresses
Primary practice location
1461 W Main St
Salem, VA 24153-3120
Mailing address
PO Box 681789
Franklin, TN 37068-1789
Phone (615) 435-0584
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52222642800 | Other | OH | BWC NUMBER |
| 0261103 | Medicaid | OH | |
| 000000204939 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 522226428 | Other | OH | TAX I.D. |
| 522226428027 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4710 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coremedx Inc. | Chiropractor | Current | Accepting new patients |
| James E. Hicks, D.C., Inc. | Chiropractor | Current | Accepting new patients |
Locations
6480 E Main St
Ste B
Reynoldsburg, OH 43068
Phone (614) 864-1611
6400 E Main St
Reynoldsburg, OH 43068
Phone (614) 864-1611
441 Piney Forest Rd
Ste E
Danville, VA 24540
Phone (434) 791-4110
441 Piney Forest Rd
Ste G
Danville, VA 24540
Phone (434) 793-0700
1461 W Main St
Salem, VA 24153
Phone (540) 375-9220
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
- Reynoldsburg, OH
- NPI 1285818906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1679637623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681789",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681789",
"telephone_number": "615-435-0584",
"fax_number": "615-435-0549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 W MAIN ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241533120",
"telephone_number": "540-375-9220",
"fax_number": "434-793-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557201",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4710",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC NUMBER",
"identifier": "52222642800",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261103",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000204939",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "522226428",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "522226428027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.