Organization Active NPI

Nicholl Chiropractic, Inc.

  • Chiropractor
  • West Sacramento, CA
National Provider Identifier
1871836080
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32059 Issued in CA
Legal business name
NICHOLL CHIROPRACTIC, INC.
Practice address
2210 Lake Washington Blvd Ste 130
West Sacramento, CA 95691-6425
Phone
(916) 594-7630
Fax
(916) 538-6771
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. Timothy L Nicholl, D.C.
Title
Owner / Provider
Phone
(916) 594-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC32059 CA Primary

Addresses

Primary practice location

2210 Lake Washington Blvd Ste 130
West Sacramento, CA 95691-6425

Mailing address

2210 Lake Washington Blvd Ste 130
West Sacramento, CA 95691-6425
Phone (916) 594-7630

National Provider Directory

National Provider Directory

Locations

1500 7th St
Ste 1E
Sacramento, CA 95814
Phone (916) 594-7630

2210 Lake Washington Blvd
Ste 130
West Sacramento, CA 95691
Phone (916) 594-7630

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1871836080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 LAKE WASHINGTON BLVD STE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916425",
            "telephone_number": "916-594-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LAKE WASHINGTON BLVD STE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916425",
            "telephone_number": "916-594-7630",
            "fax_number": "916-538-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLL CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "NICHOLL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "916-594-7630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.