Individual provider Active NPI

James A Hicks, DC

  • Chiropractor
  • Kingsford, MI
National Provider Identifier
1730125436
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007233 Issued in MI
Practice address
815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802
Phone
(906) 774-4911
Fax
(906) 776-1778
NPI assigned
Jun 21, 2006
Last updated
Dec 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007233 MI Primary

Addresses

Primary practice location

815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802

Mailing address

815 Pyle Drive
Family Chiropractic Clinic PC
Kingsford, MI 49802
Phone (906) 774-4911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000411 MI Practitioner - Chiropractic 3173784717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractic Clinic PCGroup PAC ID 6608043625, 3 clinicians

Practice addresses (Care Compare)

815 Pyle Dr
Kingsford, MI 49802-4454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007233MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic PC Chiropractor CurrentSince Nov 19, 2015 Accepting new patients

Locations

815 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-4911

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1730125436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PYLE DRIVE",
            "address_2": "FAMILY CHIROPRACTIC CLINIC PC",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "49802",
            "telephone_number": "906-774-4911",
            "fax_number": "906-776-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PYLE DRIVE",
            "address_2": "FAMILY CHIROPRACTIC CLINIC PC",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "49802",
            "telephone_number": "906-774-4911",
            "fax_number": "906-776-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.