Jay Russell Hickman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05944 Issued in IA

Practice address

Hickman Chiropractic
820 4TH St NE
Hampton, IA 50441

Phone

(641) 456-2280

Fax

(641) 456-2280

NPI assigned

Jan 23, 2006

Last updated

Oct 23, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1982674008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HICKMAN CHIROPRACTIC",
            "address_2": "820 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "50441",
            "telephone_number": "641-456-2280",
            "fax_number": "641-456-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HICKMAN CHIROPRACTIC",
            "address_2": "820 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "50441",
            "telephone_number": "641-456-2280",
            "fax_number": "641-456-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "JAY",
        "middle_name": "RUSSELL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "45752",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422543",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hampton Ia Skilled Nursing Facility, LLC
• Hampton Ia Skilled Nursing Facility, LLC
• Hampton-Dumont Community School District
• Brian J Hansen, DO
• Keith L Hansen, DO
• Kelsi Jaspers, LMHC, IADC
• Carol J Kelly, ARNP
• Koenen & Collins Chiropractic Clinic
• James Richard Koenen, DC
• Koerner-Whipple Pharmacies, Inc. (Koerner Whipple Pharmacy)

• Chiropractor in Hampton, IA
• Providers in Hampton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.