NICKOLAS KC CRUZ DC
NPI 1164008462
Chiropractor in Kent, WA

Active since March 18, 2021
12901 SE KENT KANGLEY RD, KENT, WA 98030(253) 630-1575 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Mar 18, 2021 (2 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 Kent, 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 Address12901 SE KENT KANGLEY RDKent, WA 98030-7939
Mailing AddressPo Box 380East Olympia, WA 98540-0380 · (360) 943-8250 · Fax (360) 943-0473
Sole ProprietorNo
Enumeration DateMarch 18, 2021
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1164008462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
12901 SE KENT KANGLEY RD, Kent, WA 98030

Secondary Practice Location 1

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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030
Chiropractor
12901 SE KENT KANGLEY RD
KENT, WA 98030

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 12901 SE Kent Kangley Rd, Kent, WA 98030. The listed phone number is (253) 630-1575.

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 July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.