Nicholas Alexander Micka, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011855 Issued in IL

Practice address

902 S Court St
Suite 2
Tuscola, IL 61953-2000

Phone

(217) 253-2370

Fax

(217) 253-6545

NPI assigned

Mar 24, 2011

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caraotta Chiropractic PCGroup PAC ID 5597853903, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Caraotta Chiropractic P.C.

  dba Caraotta Chiropractic

  • Orthopedic Chiropractor
  • Rockford, IL
  • NPI 1407912793
  Medicare reassignment Care Compare group NPD
• Midtown Family Chiropractic

  • Chiropractor
  • Rockford, IL
  • NPI 1023345378
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1902105315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 E STATE ST",
            "address_2": "SUITE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082275",
            "telephone_number": "217-253-2370",
            "fax_number": "217-253-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S COURT ST",
            "address_2": "SUITE 2",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619532000",
            "telephone_number": "217-253-2370",
            "fax_number": "217-253-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKA",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chan Lin, DMD
• Austin Silvio Martinez, DDS
• Casey Christine McClain, LPC
• James Ray Means
• Marie Bernadette Mendoza, PT, DPT
• Midwest Care Tuscola, LLC
• Mandi Miller, PT
• Shirley Moody, PA
• Petersen Health Enterprises LLC (Tuscola Rehabilitation & Health Care Center)
• Prairie Circle Dental, P.C.

• Chiropractor in Tuscola, IL
• Providers in Tuscola, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.