Active NPI
Sean Clair Hickman, DC
- Chiropractor
- Kings Mountain, NC
National Provider Identifier
1992264923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4895
- Practice address
- 145 Dunes Dr
Kings Mountain, NC 28086-9400 - Phone
- (704) 476-0012
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4276 | SC | |
| Chiropractor | 111N00000X | 4895 | NC | Primary |
Addresses
Primary practice location
145 Dunes Dr
Kings Mountain, NC 28086-9400
Mailing address
145 Dunes Dr
Kings Mountain, NC 28086-9400
Phone (704) 476-0012
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4276 | SC | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1992264923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 DUNES DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280869400",
"telephone_number": "704-476-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DUNES DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280869400",
"telephone_number": "704-476-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "SEAN",
"middle_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "4276",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.