Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew R Nicholson, DC

Individual provider Chiropractor · NPI 1720319817

Matthew R Nicholson, DC is a Chiropractic in O Fallon, Missouri. Graduated from Logan College of Chiropractic in 2009, 17 years ago. Practices with Back Pain Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Trained at
Logan College of Chiropractic
Licensed in
MO
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2534 Highway K
O Fallon, MO 63368-6625
Phone: (636) 978-5511
Fax: (636) 281-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2010001122 (MO)

Record details

NPI number1720319817
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 29, 2010
Last updated in NPPESJanuary 27, 2016
Mailing address2534 Highway K, O Fallon, MO 63368-6625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2009 (17 years in practice)
Group practice Back Pain Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in O Fallon