Active NPI
Jonathan Nowland, D.C.
- Chiropractor
- Roseville, CA
National Provider Identifier
1437573458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181121002142 | ID | Practitioner - Chiropractic | 2062766439 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC32820 | CA | MD | Chiropractor |
| CHIA-1671 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awic, P.C. | Chiropractor | Current | Accepting new patients |
| JMR Inc | Chiropractor | Current | 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.
-
- Chiropractor
- Boise, ID
- NPI 1346436359
-
- Chiropractor
- Boise, ID
- NPI 1871784447
-
- Chiropractor
- Roseville, CA
- NPI 1801079421
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.