Individual provider Active NPI

Erik Nothold, D.C.

  • Chiropractor
  • Quincy, IL
National Provider Identifier
1588112403
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013172 Issued in IL
Practice address
4800 Maine St
Quincy, IL 62305-5875
Phone
(217) 222-5800
Fax
(217) 222-7660
NPI assigned
Sep 20, 2016
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007498 CO
Chiropractor 111N00000X 038013172 IL Primary

Addresses

Primary practice location

4800 Maine St
Quincy, IL 62305-5875

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200

Other practice location 1

12201 E Arapahoe Rd
B 10
Centennial, CO 80112-6760
Phone (720) 747-1500

Other practice location 2

910 Broadway St Ste Ab
Quincy, IL 62301-2729
Phone (217) 222-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002765 IL Practitioner - Chiropractic 0547529588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 E Main St
Mount Sterling, IL 62353-1378
Phone (217) 222-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007498COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Spine and Sports Center, LLC CurrentSince Feb 6, 2025 Accepting new patients
Nothold Spine and Sports PLLC Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Lovett Family Chiropractic and Wellness Center Chiropractor PastSince Apr 17, 2009 Accepting new patients

Locations

521 E Main St
Mt Sterling, IL 62353
Phone (217) 222-5800

332 S 36th St
Ste 3
Quincy, IL 62301
Phone (217) 214-2692

910 Broadway St
Ste A
Quincy, IL 62301
Phone (217) 222-5800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1588112403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-1200",
            "fax_number": "217-277-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055875",
            "telephone_number": "217-222-5800",
            "fax_number": "217-222-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 E Arapahoe Rd",
            "address_2": "B 10",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801126760",
            "country_code": "US",
            "telephone_number": "720-747-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Broadway St Ste Ab",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012729",
            "country_code": "US",
            "telephone_number": "217-222-5800",
            "fax_number": "217-222-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTHOLD",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007498",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.