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DEREK WADE STICKLER D.C.
NPI 1629326905
Chiropractor in Pueblo, CO

Active since August 17, 2012
2447 S PRAIRIE AVE, PUEBLO, CO 81005(254) 394-0836 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Wade Stickler D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK WADE STICKLER D.C. (NPI 1629326905) is an individual chiropractor in Pueblo, Colorado, licensed in Colorado (6888) and active in the NPI registry since August 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1629326905
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDEREK WADE STICKLERCredential: D.C.
Location Address2447 S PRAIRIE AVEPueblo, CO 81005-2886
Mailing Address2447 S Prairie AvePueblo, CO 81005-2886 · (254) 394-0836
Phone(254) 394-0836
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 17, 2012
Last NPPES UpdateApril 11, 2018
✔ NPI 1629326905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 6888
Definition
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.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 6888 (CO)
2447 S PRAIRIE AVE, Pueblo, CO 81005
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Wade Stickler D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749612968
PECOS Enrollment IDI20191108002071

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
483 services62 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONGEVITY CHIROPRACTIC, LLC
Chiropractor (Rehabilitation)
2447 S PRAIRIE AVE
PUEBLO, CO 81005
Pueblo County (254) 394-0836
LONGEVITY CHIROPRACTIC
Chiropractor
2447 S PRAIRIE AVE
PUEBLO, CO 81005
Pueblo County (719) 924-8104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Stickler's NPI number?

The NPI number for Derek Stickler is 1629326905. It was assigned to this individual provider in the NPPES registry on August 17, 2012.

Where is Derek Stickler located?

Derek Stickler practices at 2447 S Prairie Ave, Pueblo, CO 81005. The listed phone number is (254) 394-0836.

What is Derek Stickler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derek Stickler enrolled in Medicare?

Yes. Derek Stickler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Stickler was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.