Jared Nichols, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

842 Issued in ND

Practice address

4553 9TH Ave S Ste 4
Fargo, ND 58103-7253

Phone

(701) 356-3111

Fax

(701) 356-3115

NPI assigned

Aug 24, 2009

Sex

Male

Sole proprietor

No

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 ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nichols Family Chiropractic, LLC

  • Chiropractor
  • Fargo, ND
  • NPI 1174857106
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1659504736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 9TH AVE S STE 4",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037253",
            "telephone_number": "701-356-3111",
            "fax_number": "701-356-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 9TH AVE S STE 4",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037253",
            "telephone_number": "701-356-3111",
            "fax_number": "701-356-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Brendan Nice, PT, DPT
• Nicholas C. Dorsher, D.D.S., LTD.
• Kimberly Nicholls, RN
• Nichols Family Chiropractic, LLC
• Brent G Nichols, MD
• Kyra Nichols
• Laura Marie Nichols
• Janice M Nicklay Catalan, MD
• Katelyn Nicolay, LAT, ATC
• Sara L Nicoli, M.ED, LAC

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.