Organization Active NPI

Kokomo Chiropractic, PC

  • Exclusive Provider Organization
  • Kokomo, IN
National Provider Identifier
1992895106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
08002090A Issued in IN
Legal business name
KOKOMO CHIROPRACTIC, PC
Practice address
824 Belvedere Dr
Kokomo, IN 46901-5690
Phone
(765) 457-2273
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph A Hicks, DC
Title
DC
Phone
(765) 457-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 08002090A IN Primary

Addresses

Primary practice location

824 Belvedere Dr
Kokomo, IN 46901-5690

Mailing address

824 Belvedere Dr
Kokomo, IN 46901-5690

National Provider Directory

National Provider Directory

Locations

824 Belvedere Dr
Kokomo, IN 46901
Phone (574) 551-8230

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992895106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BELVEDERE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BELVEDERE DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015690",
            "telephone_number": "765-457-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "765-457-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IN",
            "license": "08002090A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.