Organization Active NPI

Sikkema Chiropractic PA

  • Chiropractor
  • Leesburg, FL
National Provider Identifier
1881997369
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6701 Issued in FL
Legal business name
SIKKEMA CHIROPRACTIC PA
Practice address
1000 E North Blvd
Leesburg, FL 34748-5348
Phone
(352) 787-7499
NPI assigned
Dec 6, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John Daniel Sikkema I, D.C.
Title
President
Phone
(352) 787-7499

National Provider Directory

National Provider Directory

Locations

1000 E North Blvd
Leesburg, FL 34748
Phone (352) 702-0850

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6701 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 E North Blvd
Leesburg, FL 34748-5348

Mailing address

1000 E North Blvd
Leesburg, FL 34748-5348
Phone (352) 787-7499

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
381621400MedicaidFL
70082OtherFLBLUE CROSS AND BLUE SHIELD
21404201OtherFLCITRUS CARE
CH6701OtherFLSTATE LICENCE FOR DR. JOHN D SIKKEMA D.C.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2010.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1881997369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-787-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485348",
            "telephone_number": "352-787-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKKEMA CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "SIKKEMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-787-7499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381621400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "70082",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS CARE",
            "identifier": "21404201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE FOR DR. JOHN D SIKKEMA D.C.",
            "identifier": "CH6701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.