Nicholson Chiropractic a Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NICHOLSON CHIROPRACTIC A PROFESSIONAL CORPORATION

Practice address

1011 Parker Ave.
Tracy, CA 95376-3933

Phone

(209) 836-0250

Fax

(209) 836-5037

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry E Nicholson, DCNPI 1548332083

Title

President, Clinic Director

Phone

(209) 836-0250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Larry E Nicholson, D.C.

  • Sports Physician Chiropractor
  • Tracy, CA
  • NPI 1548332083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1912124553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PARKER AVE.",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763933",
            "telephone_number": "209-836-0250",
            "fax_number": "209-836-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PARKER AVE.",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763933",
            "telephone_number": "209-836-0250",
            "fax_number": "209-836-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, CLINIC DIRECTOR",
        "authorized_official_telephone_number": "209-836-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60806Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Nguyen, PHARMD
• Linda T Nguyen, DSW, LCSW
• Nguyen Hanh Nguyen
• Nichole Ton Nguyen
• Thuy Thanh Nguyen
• Larry E Nicholson, D.C.
• Logan Nielsen
• Chandler Nieman
• Vanessa Nightingale, LVN
• Yasmin Nijjar

• Chiropractor in Tracy, CA
• Providers in Tracy, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.