Active NPI
John Kiker, PA
- Physician Assistant
- McAllen, TX
National Provider Identifier
1770510976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01474
- Practice address
- 500 E Ridge Rd
Ste 101
McAllen, TX 78503-1506 - Phone
- (956) 686-5226
- Fax
- (956) 618-3051
- NPI assigned
- Jun 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01474 | TX | Primary |
Addresses
Primary practice location
500 E Ridge Rd
Ste 101
McAllen, TX 78503-1506
Mailing address
5501 S Expressway 77
Harlingen, TX 78550-3213
Phone (956) 428-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352906701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1770510976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 S EXPRESSWAY 77",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785503213",
"telephone_number": "956-428-5522",
"fax_number": "956-421-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E RIDGE RD",
"address_2": "STE 101",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031506",
"telephone_number": "956-686-5226",
"fax_number": "956-618-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKER",
"first_name": "JOHN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "352906701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.