Nicole Holton, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3983 Issued in OR

Legal business name

NICOLE HOLTON, DC, PC

Practice address

516 SE Morrison St Ste 1110
Portland, OR 97214-2390

Phone

(503) 236-9609

Fax

(503) 236-2906

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Holton, DCNPI 1558692947

Title

President

Phone

(503) 236-9609

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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.

• Nicole L Holton, DC

  • Chiropractor
  • Portland, OR
  • NPI 1558692947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1316269947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST STE 1110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142390",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE MORRISON ST STE 1110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142390",
            "telephone_number": "503-236-9609",
            "fax_number": "503-236-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE HOLTON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-236-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3983",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "3983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jeffrey Nicolai, N.D.
• Christina Mary Nicolaidis, MD
• Luciano Nicolas Jr.
• Grant Nicolaus
• Nicole Brown Prof Corp
• Andrea Nicolet
• Daniel Patrick Nicoli, DO
• Roslyn Nicoll
• Alexander Demetre Nicoloff, M.D.
• Ron Nida

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.