Active NPI
James William Tickel, D.C.
- Chiropractor
- Charlottesville, VA
National Provider Identifier
1851510333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557207
- Practice address
- 409 8TH St NE
Charlottesville, VA 22902-4727 - Phone
- (434) 260-6463
- NPI assigned
- Apr 24, 2007
- Last updated
- Jun 18, 2016
- 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 | 038.010926 | IL | |
| Chiropractor | 111N00000X | 0104557207 | VA | Primary |
Addresses
Primary practice location
409 8TH St NE
Charlottesville, VA 22902-4727
Mailing address
409 8TH St NE
Charlottesville, VA 22902-4727
Phone (434) 260-6463
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.010926 | IL | MD | Chiropractor |
| 0104557207 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| Reimagine Mental Health | Current | Accepting new patients | |
| New Life Health & Wellness LLC | Chiropractor | Past | Accepting new patients |
Locations
1335 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-9922
409 8th St NE
Charlottesville, VA 22902
Phone (434) 260-1283
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Charlottesville, VA
- NPI 1104331685
-
- Psychiatry Physician
- Charlottesville, VA
- NPI 1952057887
-
- Chiropractor
- Bolingbrook, IL
- NPI 1578768214
-
- Chiropractor
- Peru, IL
- NPI 1992402689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466208000000",
"number": "1851510333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 8TH ST NE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229024727",
"telephone_number": "434-260-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 8TH ST NE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229024727",
"telephone_number": "434-260-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKEL",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2016-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.010926",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Rosa Johanna Thuemmler
- Thunder Orthopedics, LLC
- Jessica E Thurman, SLP
- Salome Joy Tibbs
- Tickel Chiropractic and Decompression PLLC
- Tidewater Physical Therapy LLC (Pivot Physical Therapy of Virginia)
- Tidewater Physical Therapy, LLC (Pantops Physical Therapy)
- John S Tiedeman, MD
- Christina Tieu, MD
- Kathleen Tigert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.