Active NPI
Michael D Nichols, DC
- Chiropractor
- Lynn, MA
National Provider Identifier
1740328509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2474
- Practice address
- 199 N Common St
Lynn, MA 01905-2516 - Phone
- (781) 592-0002
- NPI assigned
- Feb 2, 2007
- 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 | 2474 | MA | Primary |
| Chiropractor | 111N00000X | 592-0200 | NH |
Addresses
Primary practice location
199 N Common St
Lynn, MA 01905-2516
Mailing address
199 N Common St
Lynn, MA 01905-2516
Phone (781) 592-0002
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4418078 | Other | MA | CIGNA HEALTHCARE |
| 351901 | Other | MA | HARVARD PILGRAM |
| NICH351719 | Other | NH | ANTHEM BCBS |
| 1601920 | Medicaid | MA | |
| Y36873 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2474 | MA | MD | Chiropractor |
| 592-0200 | NH | MD | Chiropractor |
| 6052 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harry W. Brown, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Chiropractor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1740328509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N COMMON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019052516",
"telephone_number": "781-592-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 N COMMON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019052516",
"telephone_number": "781-592-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2474",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "592-0200",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "4418078",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "351901",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "NICH351719",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1601920",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36873",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.