Individual provider Active NPI

Nicholas Pables

  • Chiropractor
  • Conshohocken, PA
National Provider Identifier
1770104341
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011549 Issued in PA
Practice address
3038 Butler Pike
Conshohocken, PA 19428-2115
Phone
(610) 940-6756
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011549 PA Primary

Addresses

Primary practice location

3038 Butler Pike
Conshohocken, PA 19428-2115

Mailing address

12001 Templeton Dr
Philadelphia, PA 19154-2721

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drnicholas@experiencechiropracticnow.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018001593 PA Practitioner - Chiropractic 7618409368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011549PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Optimal Healthcare CurrentSince Oct 7, 2024 Accepting new patients
King of Prussia Family Wellness Center, PC Chiropractor CurrentSince May 10, 2020 Accepting new patients
Experience Chiropractic East, LLC Chiropractor PastSince May 10, 2020 Accepting new patients

Locations

3605 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-6180

3038 Butler Pike
Conshohocken, PA 19428
Phone (610) 337-7463

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1770104341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 TEMPLETON DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191542721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282115",
            "telephone_number": "610-940-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLES",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnicholas@experiencechiropracticnow.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3038 Butler Pike",
            "city": "Conshohocken",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194282115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.