Daniel T Sicking MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9300396 Issued in NC

Legal business name

DANIEL T SICKING MD PA

Practice address

14341 New Falls of Neuse Ste 100
Raleigh, NC 27614-8292

Phone

(919) 562-4441

Fax

(919) 562-5779

NPI assigned

Jan 17, 2008

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dan Sicking

Title

President

Phone

(919) 562-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Thomas Sicking, MD

  • Internal Medicine Physician
  • Wake Forest, NC
  • NPI 1346218385
  Medicare reassignment NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1861678120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 NEW FALLS OF NEUSE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148292",
            "telephone_number": "919-562-4441",
            "fax_number": "919-562-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 NEW FALLS OF NEUSE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148292",
            "telephone_number": "919-562-4441",
            "fax_number": "919-562-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T SICKING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SICKING",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-562-4441",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9300396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7976118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel C Richard MD PLLC
• Daniel Conti, DDS PLLC (Harps Mill Dentistry)
• Daniel Grossman, DDS, PA (Grossman Orthodontics)
• Daniel J Petrocella DDS PA
• Daniel S Ayers Inc
• Anna Lowery Daniel
• Julie Kivett Daniel, LCSW
• Katherine Baldwin Daniel, RPH
• Nicholas A Daniel, PTA
• Stephen Matthew Daniel, PHARMD

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.