Individual provider Active NPI

Nathan Douglas Sikora, D.C.

  • Chiropractor
  • Canton, OH
National Provider Identifier
1699791582
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3528 Issued in OH
Practice address
4001 Whipple Ave NW Ste LL01
Canton, OH 44718-2977
Phone
(330) 479-9345
Fax
(234) 458-0920
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3528 OH Primary

Addresses

Primary practice location

4001 Whipple Ave NW Ste LL01
Canton, OH 44718-2977

Mailing address

4001 Whipple Ave NW Ste LL01
Canton, OH 44718-2977
Phone (330) 479-9345

Other identifiers 1

IdentifierTypeStateIssuer
2619518MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000438 OH Practitioner - Chiropractic 9537146980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4001 Whipple Ave NW
Lowr Level 01
Canton, OH 44718-2977
Phone (330) 479-9345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3528OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Medicine,LLC CurrentSince Nov 10, 2006 Accepting new patients
Northeast Ohio Health & Welness Center Inc Chiropractor Past Accepting new patients
Medina Health and Wellness Center Inc Chiropractor Past Accepting new patients
Sikora Chiropractic and Nutrition, LLC Chiropractor PastSince Apr 11, 2005 Accepting new patients

Locations

4310 Avondale Ln NW
Canton, OH 44708
Phone (330) 479-9345

4001 Whipple Ave NW
Lowr
Canton, OH 44718
Phone (330) 479-9345

4414 22nd St NW
Canton, OH 44708
Phone (234) 214-0258

4001 Whipple Ave NW
Ste LL01
Canton, OH 44718
Phone (330) 479-9345

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1699791582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WHIPPLE AVE NW STE LL01",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-479-9345",
            "fax_number": "234-458-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WHIPPLE AVE NW STE LL01",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-479-9345",
            "fax_number": "234-458-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "NATHAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.