Organization Active NPI

Santa Cruz Spine and Sport Chiropractic

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1245100189
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SANTA CRUZ SPINE AND SPORT CHIROPRACTIC
Practice address
545 Frederick St
Santa Cruz, CA 95062-2635
Phone
(831) 426-4325
Fax
(831) 426-4327
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Dr. Jessica Nichols, DCNPI 1174925481
Title
Owner
Phone
(831) 359-3280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

545 Frederick St
Santa Cruz, CA 95062-2635

Mailing address

545 Frederick St
Santa Cruz, CA 95062-2635
Phone (831) 426-4325

National Provider Directory

National Provider Directory

Locations

545 Frederick St
Santa Cruz, CA 95062
Phone (831) 426-4325

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1245100189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622635",
            "telephone_number": "831-426-4325",
            "fax_number": "831-426-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622635",
            "telephone_number": "831-426-4325",
            "fax_number": "831-426-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ SPINE AND SPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-359-3280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.