Nicholas David McColley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007088 Issued in IA

Practice address

506 Main Ave
Clear Lake, IA 50428-1829

Phone

(641) 357-1211

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

Yes

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Health Clinics PLCGroup PAC ID 6305241613, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Optimum Health Clinics PLC

  • General Practice Physician
  • Clear Lake, IA
  • NPI 1235803263
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1457528671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281829",
            "telephone_number": "641-357-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281829",
            "telephone_number": "641-357-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLEY",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Scribbins
• Craig Donald Markham, BA
• Martinek Physical Therapy, P.L.C.
• Ronald Gerald Martinek, P.T.
• Taylor May, MD
• Norma C McGuire, MD
• Jeffrey D McLaughlin, OT
• Mercy Health Services-Iowa Corp
• Jeanette Messer, SLP
• Matthew Todd Meyers

• Chiropractor in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.