Phillip Nicolas, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03382 Issued in MD

Practice address

10630 Little Patuxent Pkwy
Ste. 116
Columbia, MD 21044-6208

Phone

(410) 992-7730

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Lincoln Chiropractic College, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Town Center Chiropractic of Columbia PC

  • Chiropractor
  • Columbia, MD
  • NPI 1952640757
  Medicare reassignment Authorized official
• Columbia Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, MD
  • NPI 1225261191
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1083747810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "STE. 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446208",
            "telephone_number": "410-992-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "STE. 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446208",
            "telephone_number": "410-992-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Louise Nicholson, D.C.
• Felicia Nicholsonbrown, M.D.
• Darneira Nickens
• Melissa Renee Nickols, PA-C
• Katherine Nicodemus
• Leila Nielsen
• Jamie Nieto, RN
• Josephine Nieves
• Kabou Nignan
• Lucas E Nikkel, M.D.

• Chiropractor in Columbia, MD
• Providers in Columbia, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.