Individual provider Active NPI

Coty R. Sicble, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1871766865
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
813 Issued in ND
Practice address
1921 N 13TH St
Bismarck, ND 58501-1973
Phone
(701) 222-2252
Fax
(701) 222-3645
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 813 ND Primary

Addresses

Primary practice location

1921 N 13TH St
Bismarck, ND 58501-1973

Mailing address

1921 N 13TH St
Bismarck, ND 58501-1973
Phone (701) 222-2252

Other names 1

  • Coty R. Hager Former name

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

LicenseStateTypeSpecialty
813NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mees Physical Therapy LLC PastSince Feb 9, 2020 Accepting new patients
Nodak Chiropractic and Acupuncture LLC Chiropractor PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1871766865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N 13TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011973",
            "telephone_number": "701-222-2252",
            "fax_number": "701-222-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N 13TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011973",
            "telephone_number": "701-222-2252",
            "fax_number": "701-222-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICBLE",
        "first_name": "COTY",
        "middle_name": "R.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COTY",
            "last_name": "HAGER",
            "middle_name": "R.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.