Individual provider Active NPI

Jonathan Nowland, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1437573458
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1671 Issued in ID
Practice address
720 Sunrise Ave Ste 104B
Roseville, CA 95661-4508
Phone
(916) 780-1370
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1671 ID Primary
Chiropractor 111N00000X DC32820 CA

Addresses

Primary practice location

720 Sunrise Ave Ste 104B
Roseville, CA 95661-4508

Mailing address

2031 E Hospitality LN
Ste 150
Boise, ID 83716-6603
Phone (916) 780-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121002142 ID Practitioner - Chiropractic 2062766439 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32820CAMDChiropractor
CHIA-1671IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Awic, P.C. Chiropractor CurrentSince Sep 1, 2018 Accepting new patients
JMR Inc Chiropractor CurrentSince Aug 19, 2019 Accepting new patients
Jared Thomas Chiropractic Corporation, PC Chiropractor Past Accepting new patients

Locations

3211 N Milwaukee St
Boise, ID 83704
Phone (208) 375-2225

2031 E Hospitality Ln
#150
Boise, ID 83716
Phone (208) 336-2225

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1437573458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E HOSPITALITY LN",
            "address_2": "STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166603",
            "telephone_number": "916-780-1370",
            "fax_number": "916-780-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 104B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614508",
            "telephone_number": "916-780-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLAND",
        "first_name": "JONATHAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1671",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.