Individual provider Active NPI

Daniel Nicolaus, DC

  • Chiropractor
  • North Las Vegas, NV
National Provider Identifier
1144955071
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B02013 Issued in NV
Practice address
7317 Dazzle Point St
North Las Vegas, NV 89084-4746
Phone
(724) 986-3935
NPI assigned
Jul 25, 2022
Last updated
Jun 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B02013 NV Primary

Addresses

Primary practice location

7317 Dazzle Point St
North Las Vegas, NV 89084-4746

Mailing address

7317 Dazzle Point St
North Las Vegas, NV 89084-4746
Phone (724) 986-3935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B02013NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicola Chiropractic Center Chiropractor PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1144955071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 DAZZLE POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844746",
            "telephone_number": "724-986-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 DAZZLE POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844746",
            "telephone_number": "724-986-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAUS",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.