DR. THOMAS DENNIS HICKEY (NPI# 1881773992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881773992 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DENNIS HICKEY |
| Credential | D.C. |
| Practice Address |
376 S Latah St Boise ID 83705-1539 |
| Practice Telephone | 2083389111 |
| Mailing Telephone | 2083389111 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIA-473 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | C473-6 | 01 |
| ID | BLUE SHIELD | 000010147245 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346528692 | Thomas Michael Hickey | Dentist | 1202 S.e. Port Saint Lucie Boulevard Suite B, Family Dentistry, Port St Lucie, FL 34952 | 2011-08-03 |
| 1851515738 | Thomas Hickey | Pediatrics | 1010 Liberty Rd, Suite 100, Eldersburg, MD 21784-7949 | 2007-04-12 |
| 1528070190 | Thomas F Hickey | Internal Medicine | 508 W Broadway St, Silver City, NM 88061-4925 | 2006-08-12 |
| 1114495108 | Thomas William Hickey | Speech-Language Pathologist | 1527 Springs Rd, Vallejo, CA 94591-5448 | 2018-11-07 |
| 1932491891 | Thomas Hickey | Anesthesiology | 950 Campbell Ave, West Haven Va Hospital, Anesthesiology Services, West Haven, CT 06516-2770 | 2011-05-11 |
| 1912030644 | Thomas Michael Hickey | Psychologist | 4525 N Central Ave, Phoenix, AZ 85012-1816 | 2007-03-13 |
| 1861529919 | Thomas Hickey | Physician Assistant | New York Presbyterian Hospital, 177 Ft Washington Ave, New York, NY 10032 | 2007-02-27 |
| 1972516334 | Thomas A Hickey | Family Medicine | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-15 |
| 1326039421 | Thomas John Hickey | Dentist | 501 Main St Nw, Elk River, MN 55330-1880 | 2005-10-31 |
| Street Address |
376 S LATAH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83705-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536794 | John Hickey PC | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2020-07-29 |
| 1194222901 | John C Hickey | Chiropractor | 376 S Latah St, Boise, ID 83705 | 2018-04-09 |
| 1376776773 | Kory Landon Kreusel | Chiropractor | 376 S Latah St, Boise, ID 83705-1539 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003930967 | Gary D Musgrave | Chiropractor | 3314 N. Cole Rd., Boise, ID 83704 | 2007-03-18 |
| 1285658302 | Blake Louis Howard | Chiropractor | 4700 N Cloverdale Rd Ste 103, Boise, ID 83713-1067 | 2006-07-26 |
| 1245389790 | Jeffrey Thomas Welker | Chiropractor | 301 N 27th St, Boise, ID 83702-4725 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164889226 | Summit Spine and Sport Chiropractic, Pllc | Chiropractor | 237 N 2nd E, Suite 106, Rexburg, ID 83440-4977 | 2016-01-20 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1467740068 | Health Specialties | Chiropractor | 2484 N Stokesberry Pl Ste 100, Meridian, ID 83646-6083 | 2011-07-16 |
| 1750523536 | Joel Theodore Jaureguito | Chiropractor | 1352 Troy Rd, Moscow, ID 83843-3995 | 2009-03-25 |
| 1568608396 | Gallagher Chiropractic PC | Chiropractor | 520 S Meridian Rd Ste 50, Meridian, ID 83642-4533 | 2008-12-29 |
| 1881610806 | Steven Paul Borders | Chiropractor | 405 E. Best Ave #104, Coeur D Alene, ID 83814 | 2006-07-14 |
| 1386682862 | Paul Kendell Bowers | Chiropractor | 1133 Call Pl Ste A, Pocatello, ID 83201-3076 | 2006-06-04 |
| 1205883170 | Kraig Kurtis Knotts | Chiropractor | 547 S Fitness Pl, Suite 110, Eagle, ID 83616-6552 | 2006-05-27 |
| 1821643966 | Long Legacy Chiropractic | Chiropractor | 1096 Eastland Dr N Ste 300, Twin Falls, ID 83301-8970 | 2019-08-06 |
| 1891153391 | Jacob Bower | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686-5015 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.