Active NPI
Nickolas KC Cruz, DC
- Chiropractor
- Pasco, WA
National Provider Identifier
1164008462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61175811
- Practice address
- 5908 Bedford St Ste B
Pasco, WA 99301-6605 - Phone
- (509) 616-6759
- NPI assigned
- Mar 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH61175811 | WA | Primary |
Addresses
Primary practice location
5908 Bedford St Ste B
Pasco, WA 99301-6605
Mailing address
5908 Bedford St Ste B
Pasco, WA 99301-6605
Phone (509) 616-6759
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1164008462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 BEDFORD ST STE B",
"city": "PASCO",
"state": "WA",
"postal_code": "993016605",
"telephone_number": "509-616-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 BEDFORD ST STE B",
"city": "PASCO",
"state": "WA",
"postal_code": "993016605",
"telephone_number": "509-616-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "NICKOLAS",
"middle_name": "KC",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61175811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.