National Board of Chiropractic Examiners is an independent, nonprofit organization that creates and administers standardized exams to assess the knowledge, skills. And clinical competency of chiropractic students and graduates. These exams ensure that chiropractors meet national standards before entering professional practice in the United States.
Category
Licensing examination board
Used for
Chiropractic licensure and certification
Common confusion
Often mistaken for a state licensing board
Also called
NBCE, Chiropractic National Boards

The National Board of Chiropractic Examiners is called the NBCE. It makes tests for chiropractors.
Related glossary terms: Doctor of Chiropractic, Chiropractic School, Chiropractic Adjustment.
These tests show if students are ready to work safely. They also show if they can work well. The NBCE makes sure tests are fair and the same for all.
Most states use these tests. They use them to help decide who gets a license.
Chiropractic schools teach many things. They teach anatomy (body parts) and neurology (nerves). They also teach radiology (X-rays) and how to adjust the spine.
But the NBCE tests make sure all students meet the same rules. This is true no matter which school they went to. This keeps patients safe.
All licensed chiropractors must show they know enough. The NBCE also has extra tests. These are for chiropractors who want to learn more, like physiotherapy or acupuncture.
The NBCE tests come in parts. Each part covers different things.
Part I tests basic science. This includes anatomy, physiology (how the body works). And pathology (diseases). Part II tests doctor skills.
It looks at diagnosis (finding problems), chiropractic ways. And case management (care plans). Part III checks clinical skills.
This includes patient history, exams. And reading X-rays. Part IV is a hands-on test.
Here, students do tasks while examiners watch.
Tests happen many times a year. They are at centers all over the country.
Students take Part I after two years of school. They take Parts II, III. And IV later.
They take them in their last year or after graduation. Scores go to state boards.
Boards use scores to help decide on licenses. They also check backgrounds and other tests.
The NBCE does not give licenses. It only gives tests that states trust.
The NBCE helps people trust chiropractors. It sets rules that all must follow.
This makes sure patients get care from skilled providers. Without the NBCE, each state would make its own tests.
This could cause problems. Tests might not match up.
It could be harder for chiropractors to move. Patients might not feel as safe.
For chiropractors, passing these tests is key. Most states need NBCE scores to give licenses.
Failing a test can slow them down. It can stop them from working.
Schools also use test scores. They compare them to others across the country.
This helps them make classes better.
NBCE tests matter most for students. They also matter for new chiropractors.
Students start taking tests in their third year. They finish after they graduate.
Chiropractors moving to a new state may need these scores. Most states accept them.
They use them to show they know enough.
Patients can check a chiropractor's scores. State boards keep these records.
Employers and insurance companies may check too. They do this when hiring.
They also do it for health plans. Schools may show pass rates to get students.
This shows how good their program is.
In Hendersonville, TN, chiropractors must pass NBCE tests. They must also follow state rules.
This makes sure local patients get good care. It comes from providers who meet high standards.
State boards grant licenses and enforce local rules. While the NBCE only creates and administers standardized exams.
The FCLB coordinates between state licensing boards. While the NBCE focuses on developing and scoring national exams.
While NBCE exams set a baseline for chiropractic competence, they don’t measure all skills needed for patient care. Experience, continuing education. And professional judgment play just as important a role in a chiropractor’s ability to help patients.
A chiropractic student in Hendersonville, TN, takes the NBCE Part I exam after completing two years of coursework. After passing, they take Parts II and III in their final year and Part IV after graduation. Their scores are sent to the Tennessee Board of Chiropractic Examiners, which reviews them along with other requirements before granting a license to practice.
Doctor of Chiropractic is a licensed healthcare professional who specializes in diagnosing and treating musculoskeletal disorders, particularly those related to the spine. Doctors of Chiropractic use non-surgical, drug-free approaches, such as spinal adjustments, to improve function, reduce pain. And support the body’s natural ability to heal itself. They complete extensive education and training, including a doctoral degree and clinical internships, to earn licensure.
Chiropractic School is an educational institution that trains students to become Doctors of Chiropractic (D.C.). These programs teach anatomy, spinal health, manual adjustments. And patient care over 3.5 to 4 years of graduate-level study. Graduates must pass national board exams to earn licensure and practice chiropractic care professionally.
Chiropractic Adjustment is a hands-on procedure where a licensed chiropractor applies controlled force to a joint in the spine or other body part to improve alignment, reduce pain. And restore movement. These adjustments are often used to treat back pain, neck pain, headaches. And joint stiffness without surgery or medication.
Chiropractic Care is a health care profession focused on diagnosing and treating musculoskeletal disorders, especially those related to the spine. Chiropractic Care uses hands-on spinal manipulation and other alternative treatments to help the body heal itself without surgery or medication. The practice is based on the idea that proper alignment of the body’s musculoskeletal structure allows the nervous system to function optimally, improving overall health.
Chiropractic Physician is a licensed healthcare professional who specializes in diagnosing and treating musculoskeletal disorders, primarily through hands-on spinal adjustments and other non-surgical therapies. Chiropractic Physicians focus on the relationship between the spine and nervous system to improve overall health and relieve pain without medication or surgery.
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