John Dale Nichols, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9197 Issued in FL

Practice address

8608 E State Road 70
Bradenton, FL 34202-3785

Phone

(941) 739-2900

Fax

(941) 739-2009

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lakewood Ranch Chiropractic Inc

  • Chiropractor
  • Bradenton, FL
  • NPI 1497819320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1295741346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 E STATE ROAD 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "941-735-6910",
            "fax_number": "941-739-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 E STATE ROAD 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "941-739-2900",
            "fax_number": "941-739-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOHN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen Nguyen
• Nic 4 Bradenton Oaks Leasing LLC
• Nic 4 Summerfield Leasing LLC
• Stephen Peter Nicholas, M.D.
• Earl J Nichols, LMFT
• Katherine E Nicholson, BSW
• Rebecca Anne Nickens-Warren, APRN
• Linda K Nicoli, PT
• Cassidy Nieder, DO
• Wanda Vining Nipper, NP

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.