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Active NPI 1164008462 Individual Practitioner Male Practitioner

Dr. Nickolas Kc Cruz , DC

Chiropractor • Kent, WA

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Cruz, DC is a registered healthcare professional specializing in Chiropractor in Kent, WA. Practice services are available at 12901 SE KENT KANGLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12901 Se Kent Kangley Rd

Kent, WA 980307939

Telephone 2536301575
Associated Practice Facility / Clinic
🏢 Lake Meridian Chiropractic Facility NPI 1376592915

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.1 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Kent, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
95 39 $48.60 $41.77

Medical Specialties & State Licenses

CMS Verified: 2021-07-26
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH61175811

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2716 Pacific Ave Se

Olympia, WA 985018803

Phone: 3609438250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1154470276

Doctor of Chiropractic, BCAO

NPI 1225457823

Doctor of Chiropractic

NPI 1255561957

Doctor of Chiropractic

NPI 1265719793

Doctor of Chiropractic

NPI 1265925309

Doctor of Chiropractic

NPI 1548554785

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 26, 2021

Registered at 12901 SE KENT KANGLEY RD, KENT, WA 980307939 (Tel: 2536301575)

📍
Updated Business Mailing Address July 26, 2021

Registered at PO BOX 380, EAST OLYMPIA, WA 985400380 (Tel: 3609438250)

👤
Provider Name / Credentials Updated July 26, 2021

Recorded as NICKOLAS CRUZ, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2021

Chiropractor (License #CH61175811 in WA)

NPI Profile Active March 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2021

Registered at 2716 PACIFIC AVE SE, OLYMPIA, WA 985018803 (Tel: 3609438250)

📍
Updated Business Mailing Address March 18, 2021

Registered at 2716 PACIFIC AVE SE, OLYMPIA, WA 985018803 (Tel: 3609438250)

👤
Provider Name / Credentials Updated March 18, 2021

Recorded as NICKOLAS CRUZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164008462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2021
Last Update: July 26, 2021
Sole Proprietor: No

Mailing Address

Po Box 380

East Olympia, WA 985400380

Phone: 3609438250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.