Individual provider Active NPI

Daniel Lewis Sickels, D.C.

  • Chiropractor
  • Cocoa Beach, FL
National Provider Identifier
1871570671
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5196 Issued in FL
Practice address
503 N Orlando Ave
#105
Cocoa Beach, FL 32931-3171
Phone
(321) 783-9400
Fax
(321) 783-9358
NPI assigned
Dec 22, 2005
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5196 FL Primary

Addresses

Primary practice location

503 N Orlando Ave
#105
Cocoa Beach, FL 32931-3171

Mailing address

503 N Orlando Ave
#105
Cocoa Beach, FL 32931-3171
Phone (321) 783-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000014 FL Practitioner - Chiropractic 2163452913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1980 N Atlantic Ave
Suite 330
Cocoa Beach, FL 32931-3222
Phone (321) 783-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5196FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sickels Clinic of Chiropractic Inc Chiropractor CurrentSince Dec 29, 1999 Accepting new patients

Locations

1980 N Atlantic Ave
Ste 330
Cocoa Beach, FL 32931
Phone (321) 610-8908

299 N Orlando Ave
Cocoa Beach, FL 32931
Phone (321) 783-5512

503 N Orlando Ave
Ste 105
Cocoa Beach, FL 32931
Phone (321) 783-9400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1871570671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N ORLANDO AVE",
            "address_2": "#105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313171",
            "telephone_number": "321-783-9400",
            "fax_number": "321-783-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N ORLANDO AVE",
            "address_2": "#105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313171",
            "telephone_number": "321-783-9400",
            "fax_number": "321-783-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELS",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.

Verify at the official NPI Registry.