Active NPI
Nicholas H Jolley, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1528537149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12647
- Practice address
- 11500 University Blvd Ste 103
Orlando, FL 32817-2155 - Phone
- (407) 658-6500
- NPI assigned
- Nov 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12647 | FL | Primary |
Addresses
Primary practice location
11500 University Blvd Ste 103
Orlando, FL 32817-2155
Mailing address
2204 Sandalwood Dr
Fern Park, FL 32730-2236
Phone (814) 558-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12647 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Colonial Chiropractic | Chiropractor | Past | Accepting new patients |
| East Colonial Chiropractic Office | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Orlando, FL
- NPI 1396012100
-
- Chiropractor
- Orlando, FL
- NPI 1164709812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1528537149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 SANDALWOOD DR",
"city": "FERN PARK",
"state": "FL",
"postal_code": "327302236",
"telephone_number": "814-558-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 UNIVERSITY BLVD STE 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328172155",
"telephone_number": "407-658-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "NICHOLAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.