National Board of Chiropractic Examiners is an independent organization that creates and administers standardized exams to assess the knowledge and skills of chiropractic students and graduates. These exams ensure chiropractors meet national competency standards before obtaining a license to practice in the United States.
Category
Licensing examination body
Used for
Chiropractic licensure in the U.S.
Common confusion
Not a licensing board—it only creates exams
Also called
NBCE
Often discussed with
Chiropractic Consultation and Diagnosis

The National Board of Chiropractic Examiners is called the NBCE. It is a group that does not make money.
Related glossary terms: Chiropractic Licensing Board, Doctor of Chiropractic.
It started in 1963. Its job is to make tests for chiropractic students. These tests show if students know enough to work safely.
States use these tests. They help decide who can be a chiropractor.
Chiropractic schools teach students. They learn about the body and how to help people. They study for NBCE tests.
The tests cover many topics. These include bones, muscles. And how to find problems. They also test how to take X-rays.
The NBCE is not part of any school. It is not part of any state. This makes sure tests are fair for everyone.
The NBCE has many tests. Students take them at different times. The main tests are Part I, Part II, Part III. And Part IV.
There are also extra tests. These include physiotherapy (body exercises) and acupuncture (needle treatment).
Students take Part I and Part II in school. They take Part III and Part IV after they finish school.
Tests have different types of questions. Some are multiple-choice. Some show what students can do. Others use real-life cases.
Tests happen at centers across the country. The NBCE picks the dates. They grade the tests and send scores to states.
Students must pass to get a license. Most states want all four main tests passed. Some states want more.
The NBCE helps keep people safe. It makes sure only good chiropractors get licenses.
Without these tests, states would make their own. That could cause problems. Chiropractors might know different things.
The NBCE tests help chiropractors be the best they can be.
For students, passing tests is a big step. It shows they know what to do. They can help people safely.
For patients, it builds trust. They know their chiropractor passed tough tests.
NBCE tests matter most when getting a license. Students take them in their last years of school.
They must pass all tests before they can apply. States look at these scores. Failing can stop them from getting a license.
The NBCE also matters when moving. Most states accept old test scores. Chiropractors don't have to take tests again.
Some special jobs need extra tests. These are called specialty exams. Passing them can open new doors.
State licensing boards grant chiropractic licenses and enforce practice rules. While the NBCE only creates and administers the exams used for licensure.
The DC degree is earned from a chiropractic college. While NBCE exams test the knowledge and skills learned during that education.
While NBCE exams set a national standard, individual states may add additional requirements like jurisprudence exams or background checks. Always check with your state licensing board for the full licensure process.
A chiropractic student graduates from a four-year program and applies for licensure in Georgia. The Georgia Board of Chiropractic Examiners reviews their NBCE exam scores, which show they passed Parts I, II, III. And IV. Because the student meets all other state requirements, they receive their license to practice in Georgia.
Chiropractic Licensing Board is chiropractic Licensing Boards are state-level government agencies that regulate chiropractic practice. They set education requirements, administer licensing exams, enforce professional standards, investigate complaints. And issue or revoke licenses to ensure chiropractors meet legal and ethical guidelines for safe patient care.
Doctor of Chiropractic is a licensed healthcare professional who specializes in diagnosing, treating. And preventing disorders of the musculoskeletal system, particularly the spine. Doctors of Chiropractic focus on manual adjustments, spinal manipulation. And other non-invasive techniques to improve function, reduce pain. And support the body’s natural healing processes without surgery or medication.
Arrowhead Clinic Chiropractor
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