Organization Active NPI

Nicholson Chiropractic Health and Wellness LLC

  • Chiropractor
  • Connellsville, PA
National Provider Identifier
1902252919
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010841 Issued in PA
Legal business name
NICHOLSON CHIROPRACTIC HEALTH AND WELLNESS LLC
Practice address
110 S Arch St Ste 1a
Connellsville, PA 15425-3515
Phone
(724) 603-3233
Fax
(724) 603-3235
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Tyler Nicholson, D.C.
Title
Chiropractor
Phone
(724) 603-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010841 PA Primary

Addresses

Primary practice location

110 S Arch St Ste 1a
Connellsville, PA 15425-3515

Mailing address

PO Box 187
Leisenring, PA 15455-0187
Phone (724) 603-3233

National Provider Directory

National Provider Directory

Locations

110 S Arch St
Ste 1A
Connellsville, PA 15425
Phone (724) 603-3233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1902252919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "LEISENRING",
            "state": "PA",
            "postal_code": "154550187",
            "telephone_number": "724-603-3233",
            "fax_number": "724-603-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ARCH ST STE 1A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253515",
            "telephone_number": "724-603-3233",
            "fax_number": "724-603-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON CHIROPRACTIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-603-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.