NPIMap

Individual provider Active NPI

Joshua Nichols

  • Sports Physician Chiropractor
  • Edwards, CO
National Provider Identifier
1801204730
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHR.0008455 Issued in CO
Practice address
105 Edwards Village Blvd
A203
Edwards, CO 81637-8163
Phone
(303) 910-7490
NPI assigned
Jul 23, 2014
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2013039642 MO
Chiropractor 111N00000X 5464 KY
Chiropractor 111N00000X CHR.0008455 CO
Sports Physician Chiropractor 111NS0005X CHR.0008455 CO Primary

Addresses

Primary practice location

105 Edwards Village Blvd
A203
Edwards, CO 81637-8163

Mailing address

PO Box 2637
Edwards, CO 81632-2637
Phone (970) 926-4600

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

LicenseStateTypeSpecialty
2013039642MOMDChiropractor
CHR.0008455COMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eriksen Chiropractic of Richmond, PLLC Chiropractor Past Accepting new patients
Gray Family Chiropractic PLLC Chiropractor Past Accepting new patients
Vail Med Inc Chiropractor PastSince Oct 22, 2023 Accepting new patients
Teddi Eriksen Peters PLLC Chiropractor PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 4

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1801204730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2637",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322637",
            "telephone_number": "970-926-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EDWARDS VILLAGE BLVD",
            "address_2": "A203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816378163",
            "telephone_number": "303-910-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013039642",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5464",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008455",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0008455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.