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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICKOLAS KC CRUZ DC
NPI 1164008462
Chiropractor in Pasco, WA

Active since March 18, 2021
5908 BEDFORD ST STE B, PASCO, WA 99301(509) 616-6759 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jul 26, 2021, Mar 18, 2021 (3 updates tracked since 2021).

About Nickolas Kc Cruz Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKOLAS KC CRUZ DC (NPI 1164008462) is an individual chiropractor in Pasco, Washington, licensed in Washington (CH61175811) and active in the NPI registry since March 2021. He maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1164008462
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameNICKOLAS KC CRUZCredential: DC
Location Address5908 BEDFORD ST STE BPasco, WA 99301-6605
Mailing Address5908 Bedford St Ste BPasco, WA 99301-6605 · (509) 616-6759
Phone(509) 616-6759
Sole ProprietorYes
Enumeration DateMarch 18, 2021
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1164008462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH61175811
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5908 BEDFORD ST STE B, Pasco, WA 99301
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Secondary Practice Location 1

Location 12716 Pacific Ave SEOlympia, WA 98501-8803 · Phone (360) 943-8250 · Fax (360) 943-0473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickolas Cruz's NPI number?

The NPI number for Nickolas Cruz is 1164008462. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Nickolas Cruz located?

Nickolas Cruz practices at 5908 Bedford St Ste B, Pasco, WA 99301. The listed phone number is (509) 616-6759.

What is Nickolas Cruz's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Nickolas Cruz was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.