Active NPI
Thomas Patrick Nicolai, D.C.
- Chiropractor
- Warrenton, VA
National Provider Identifier
1598855959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556763
- Practice address
- 493 Blackwell Rd
Ste 350
Warrenton, VA 20186-2628 - Phone
- (540) 347-5900
- NPI assigned
- Oct 13, 2006
- Last updated
- Sep 26, 2016
- 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 | 656 | ND | |
| Chiropractor | 111N00000X | 0104556763 | VA | Primary |
Addresses
Primary practice location
493 Blackwell Rd
Ste 350
Warrenton, VA 20186-2628
Mailing address
493 Blackwell Rd
Ste 350
Warrenton, VA 20186-2628
Phone (540) 347-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18614 | Other | ND | BCBS ID |
| 11157 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000201 | VA | Practitioner - Chiropractic | 0345364816 | Practice locations: Warrenton, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
493 Blackwell Rd
Suite 350
Warrenton, VA 20186-2628
Phone (540) 347-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 656 | ND | MD | Chiropractor |
| 0104556763 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outlook Chiropractic | Chiropractor | Past | Accepting new patients |
| Outlook Chiropractic | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- McVille, ND
- NPI 1942493531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1598855959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 BLACKWELL RD",
"address_2": "STE 350",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862628",
"telephone_number": "540-347-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 BLACKWELL RD",
"address_2": "STE 350",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862628",
"telephone_number": "540-347-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAI",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "656",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "18614",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11157",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
- Denise Leah Newby, PSY.D.
- Christina Buthmann Nez, N.P.
- Sandy Linh Ngo, PHARM D
- Joseph Nguyen, RPH
- Suong Thu Nguyen, RPH
- Leila Nikpour, DDS
- NMG Affiliate Practice I, LLC (Novant Health UVA Health System Express Care)
- NMG Affiliate Practice I, LLC (UVA Obstetrics and Gynecology Fletcher Drive)
- Noble Senior Living at Warrenton LLC
- Amelia Noble, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.