Individual provider Active NPI

Jarrod L Nichols, D.C.

  • Chiropractor
  • Manhattan, KS
National Provider Identifier
1720055718
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04939 Issued in KS
Practice address
2749 Pembrook PL
Manhattan, KS 66502-7482
Phone
(785) 537-2211
Fax
(785) 537-3811
NPI assigned
Mar 8, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04939 KS Primary

Addresses

Primary practice location

2749 Pembrook PL
Manhattan, KS 66502-7482

Mailing address

2749 Pembrook PL
Manhattan, KS 66502-7482
Phone (785) 537-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000373 KS Practitioner - Chiropractic 1254367014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Nichols Chiropractic PAGroup PAC ID 4981630746, 4 clinicians

Practice addresses (Care Compare)

2749 Pembrook PL
Manhattan, KS 66502-7482
Phone (785) 537-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04939KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Konza Acupuncture & Herbal Medicine, LLC PastSince Jun 20, 2005 Accepting new patients
Simpson Chiropractic PA Chiropractor PastSince May 1, 2002 Accepting new patients
Tallgrass Balance, Hearing & Physical Therapy LLC Past Accepting new patients
Aligned Roop Chiropractic, P.a. Chiropractor Past Accepting new patients

Organizations & group practices 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1720055718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-2211",
            "fax_number": "785-537-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-2211",
            "fax_number": "785-537-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JARROD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.