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NICHOLSON CHIROPRACTIC A PROFESSIONAL CORPORATION
NPI 1912124553
Chiropractor in Tracy, CA

Active since April 18, 2007
1011 PARKER AVE., TRACY, CA 95376(209) 836-0250(209) 836-5037 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholson Chiropractic A Professional Corporation NPPES

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

NICHOLSON CHIROPRACTIC A PROFESSIONAL CORPORATION (NPI 1912124553) is a healthcare organization registered as a chiropractor in Tracy, California and active in the NPI registry since April 2007. The organization lists Larry E Nicholson, President, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1912124553
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNICHOLSON CHIROPRACTIC A PROFESSIONAL CORPORATION
Location Address1011 PARKER AVE.Tracy, CA 95376-3933
Mailing Address1011 Parker Ave.Tracy, CA 95376-3933 · (209) 836-0250 · Fax (209) 836-5037
Phone(209) 836-0250
Fax(209) 836-5037
Organization SubpartNo
Authorized OfficialLarry E NicholsonPresident, Clinic Director · (209) 836-0250
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 5, 2008
✔ NPI 1912124553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1011 PARKER AVE., Tracy, CA 95376
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ21389ZCA · Medicare
OtherZZZ60806ZCA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholson Chiropractic A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholson Chiropractic A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry Nicholson, D.C.
Chiropractic
NPI 1548332083
1011 PARKER AVE
Tracy, CA 95376
(209) 836-0250
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicholson Chiropractic A Professional Corporation's NPI number?

The NPI number for Nicholson Chiropractic A Professional Corporation is 1912124553. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Nicholson Chiropractic A Professional Corporation located?

Nicholson Chiropractic A Professional Corporation is located at 1011 Parker Ave., Tracy, CA 95376. The listed phone number is (209) 836-0250.

What is Nicholson Chiropractic A Professional Corporation's specialty?

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

Is Nicholson Chiropractic A Professional Corporation enrolled in Medicare?

Yes. Nicholson Chiropractic A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicholson Chiropractic A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Nicholson Chiropractic A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicholson Chiropractic A Professional Corporation was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.