Nichols Chiropractic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06453 Issued in IA

Legal business name

NICHOLS CHIROPRACTIC, PLC

Practice address

308 Main St
Janesville, IA 50647-7785

Phone

(319) 987-3080

Fax

(319) 987-3080

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Nichols, D.C.NPI 1891865788

Title

Owner/Chiropractor

Phone

(319) 987-3080

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Nichols, D.C.

  • Chiropractor
  • Janesville, IA
  • NPI 1891865788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1629245451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "address_2": "PO BOX 130",
            "city": "JANESVILLE",
            "state": "IA",
            "postal_code": "506477785",
            "telephone_number": "319-987-3080",
            "fax_number": "319-987-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "JANESVILLE",
            "state": "IA",
            "postal_code": "506477785",
            "telephone_number": "319-987-3080",
            "fax_number": "319-987-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "319-987-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "04192",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2264465",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janesville Community Schools
• Paul David Nichols, D.C.
• Lori J Voyek
• Waverly Health Center

• All providers in Janesville, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.

Verify at the official NPI Registry.