Individual provider Active NPI

Nicole A Thomas, DC

  • Chiropractor
  • Oregon City, OR
National Provider Identifier
1891151163
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5785 Issued in OR
Practice address
418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287
Phone
(503) 860-8112
Fax
(503) 723-4458
NPI assigned
Jan 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10672 OR
Chiropractor 111N00000X 5785 OR Primary

Addresses

Primary practice location

418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287

Mailing address

418 Beavercreek Rd Ste 102
Oregon City, OR 97045-4287
Phone (503) 723-4462

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5785ORMDChiropractor
10672ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1891151163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "503-723-4462",
            "fax_number": "503-723-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BEAVERCREEK RD STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454287",
            "telephone_number": "503-860-8112",
            "fax_number": "503-723-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10672",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.