Wicks Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WICKS CHIROPRACTIC, LLC

Practice address

4301 Rainbow Trout Dr Ste 103
Columbia, MO 65203-6575

Phone

(573) 296-0736

Fax

(573) 564-4290

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Thomas A. Wicks, DC

Title

Owner/Chiropractor

Phone

(563) 570-0667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Rhea Wicks, D.C.

  • Chiropractor
  • Columbia, MO
  • NPI 1538297494
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1851984645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 E SPIVA CROSSING RD",
            "city": "HALLSVILLE",
            "state": "MO",
            "postal_code": "652559343",
            "telephone_number": "563-570-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 RAINBOW TROUT DR STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036575",
            "telephone_number": "573-296-0736",
            "fax_number": "573-564-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "563-570-0667",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pearl Whitten, MD
• Elizabeth Catherine Whittom
• Shawn Michael Whitton, MD
• Lloyd Wayne Whyte, MSW LCSW MO LICENSE
• Mikayla Leighann Wichern, LMSW
• Emma Louise Wicks, MS RD LD CIEC
• Tyler Rhea Wicks, D.C.
• Andrea Elizabeth Wiele, MS
• Mary S Wiemer, AHCNS
• Mark Edward Wienke, R.PH., CGP

• Chiropractor in Columbia, MO
• Providers in Columbia, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.