Organization Active NPI

Nicolai Chiropractic Center, P.C.

  • Chiropractor
  • New Rockford, ND
National Provider Identifier
1760606388
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
573 Issued in ND
Legal business name
NICOLAI CHIROPRACTIC CENTER, P.C.
Practice address
207 1St Ave S
New Rockford, ND 58356-1800
Phone
(701) 947-2121
Fax
(701) 947-2012
NPI assigned
Apr 13, 2007
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Dr. Michael Kenneth Nicolai, D.C.NPI 1760449417
Title
Doctor of Chiropractic
Phone
(701) 947-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 573 ND Primary

Addresses

Primary practice location

207 1St Ave S
New Rockford, ND 58356-1800

Mailing address

207 1St Ave S Ste a
New Rockford, ND 58356-1800
Phone (701) 947-2121

Other identifiers 2

IdentifierTypeStateIssuer
1458174MedicaidND
17556OtherNDBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000226 ND Part B Supplier - Clinic/Group Practice 2668409590 Receives reassigned benefits from 3 practitioners
Practice locations: New Rockford, ND

National Provider Directory

National Provider Directory

Locations

207 1st Ave S
New Rockford, ND 58356
Phone (701) 947-2121

207 1st Ave S
Ste A
New Rockford, ND 58356
Phone (701) 947-2121

Interoperability endpoints

  • Direct secure messaging: 3@nccp0004.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1760606388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S STE A",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121",
            "fax_number": "701-947-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121",
            "fax_number": "701-947-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAI CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "NICOLAI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "701-947-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458174",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17556",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rockford, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.