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Deactivated NPI 1265586119 Deactivated / Inactive NPI Male Practitioner

Dr. Cory L Hicks , DC

Chiropractor • Skiatook, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cory Hicks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date April 12, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Cory Hicks, DC was a registered Chiropractor practicing in Skiatook, OK. Throughout an active medical career spanning 16 years, Dr. Hicks provided care at the practice location at 1529 W ROGERS BLVD until profile deactivation on 2023-04-12.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1529 W Rogers Blvd
Suite C Lakeside Chiropractic Clinic

Skiatook, OK 74070

Telephone 9183964433
Fax 9183960075
Associated Practice Facility / Clinic
🏢 Lakeside Chiropractic, Pllc Facility NPI 1578945390

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Skiatook, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Skiatook, OK (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
466 70 $50.00 $37.05

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OK 3750

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013185453

Doctor of Chiropractic

NPI 1679800478

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2023

Record deactivated on April 12, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1529 W ROGERS BLVD, SUITE C LAKESIDE CHIROPRACTIC CLINIC, SKIATOOK, OK 74070 (Tel: 9183964433)

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Updated Business Mailing Address July 08, 2007

Registered at 1529 W ROGERS BLVD, SUITE C LAKESIDE CHIROPRACTIC CLINIC, SKIATOOK, OK 74070 (Tel: 9183964433)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CORY HICKS, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #3750 in OK)

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Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265586119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: April 12, 2023

Mailing Address

1529 W Rogers Blvd, Suite C Lakeside Chiropractic Clinic

Skiatook, OK 74070

Phone: 9183964433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.