Jon Ross Nichols, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6222 Issued in OR

Practice address

317 N Molalla Ave
Molalla, OR 97038-8840

Phone

(503) 829-6176

Fax

(503) 829-6178

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Health Center, LLC

  • Chiropractor
  • Canby, OR
  • NPI 1043491178
  Medicare reassignment Care Compare group NPD
• Larry D Jensen DPM PC

  • Foot Surgery Podiatrist
  • Tigard, OR
  • NPI 1083991400

  Single Specialty

  NPD

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Health Center, LLC 4 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2022.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1043371958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SW 2ND AVE STE 101",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134157",
            "telephone_number": "503-829-6176",
            "fax_number": "503-829-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MOLALLA AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388840",
            "telephone_number": "503-829-6176",
            "fax_number": "503-829-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JON",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molalla Medical Clinic
• Molalla River School District
• Molalla Rural Fire Protection District 73
• Molalla Vision Clinic PC
• Lacee L Muffett, RPH
• NW Dental Clinic, LLC
• Timothy Kevin O'Connor
• Olesya Z. Salathe, DMD, LLC
• Optimal Nutrition
• Marfa Ovchinnikov

• All providers in Molalla, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.