Active NPI
Sikkema Chiropractic PA
- Chiropractor
- Leesburg, FL
National Provider Identifier
1881997369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6701
- 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 DirectoryLocations
1000 E North Blvd
Leesburg, FL 34748
Phone (352) 702-0850
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6701 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381621400 | Medicaid | FL | |
| 70082 | Other | FL | BLUE CROSS AND BLUE SHIELD |
| 21404201 | Other | FL | CITRUS CARE |
| CH6701 | Other | FL | STATE 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.