Active NPI
Lee Adam Wickwire, DC
- Chiropractor
- Hiawatha, IA
National Provider Identifier
1861622292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007214
- Practice address
- 1690 Blairs Ferry Road
Hiawatha, IA 52233 - Phone
- (319) 393-3345
- NPI assigned
- Jul 20, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007214 | IA | Primary |
Addresses
Primary practice location
1690 Blairs Ferry Road
Hiawatha, IA 52233
Mailing address
250 Cimarron Dr
Hiawatha, IA 52233-1476
Phone (319) 210-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
655 N Ctr Point Rd
Hiawatha, IA 52233-1223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
-
- Chiropractor
- Hiawatha, IA
- NPI 1669605937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1861622292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CIMARRON DR",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331476",
"telephone_number": "319-210-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 BLAIRS FERRY ROAD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "52233",
"telephone_number": "319-393-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKWIRE",
"first_name": "LEE",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.