DR. JON ROSS NICHOLS (DC) – Chiropractor, NPI 1043371958

DR. JON ROSS NICHOLS (DC) is a healthcare provider. based in Canby, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6222 (OR). The NPI Number for DR. JON ROSS NICHOLS (DC) is 1043371958

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON ROSS NICHOLS (DC)
NPI
1043371958
Phone
(503) 829-6176
Address
130 SW 2ND AVE STE 101
Enumeration Date
13 December 2006
Last Update Date
1 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038296176
Graduation Year
1996 (30 years ago)
PAC ID
9133265184
Group Practice PAC ID
1052508660
Professional Enrollment ID
I20220531001370
Address ID
OR970388840MO317XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

Provider Addresses for DR. JON ROSS NICHOLS (DC)

  • 130 SW 2ND AVE STE 101

    CANBY, OR 970134157

    Phone: (503) 829-6176

    Fax: (503) 829-6178

    Type: Mailing

  • 317 N MOLALLA AVE

    MOLALLA, OR 970388840

    Phone: (503) 829-6176

    Fax: (503) 829-6178

    Type: Location

  • 545, Los Coches Street, Milpitas, Santa Clara County, California, 95035, United States

    STE. 104

    MILPITAS, CA 950355483

    Phone: (408) 945-1233

    Fax: (408) 956-8812

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220531001370IChiropracticORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions26544$0
View full utilization report →

Insurance plans in this area (ZIP 97013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052508660View full group profile
NameSpecialtyState
-OR
C H I R O P R A C T I CCA
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

Can I verify DR. JON ROSS NICHOLS (DC) with an NPI only?
You can start verification with NPI 1043371958 for DR. JON ROSS NICHOLS (DC), then check state licensing separately.
Does the file indicate DR. JON ROSS NICHOLS (DC) is practicing under active NPI?
Directory data currently reports DR. JON ROSS NICHOLS (DC) as active.
What is DR. JON ROSS NICHOLS (DC)'s specialty?
The listing groups DR. JON ROSS NICHOLS (DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
What area does DR. JON ROSS NICHOLS (DC) serve?
DR. JON ROSS NICHOLS (DC)'s listing highlights Canby, Oregon; more addresses can appear in NPPES.
Is the information about DR. JON ROSS NICHOLS (DC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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