Thomas Steven Nichols, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012949A Issued in IN

Practice address

500 W Lincoln Hwy Ste N
Merrillville, IN 46410-6452

Phone

(219) 769-6444

Fax

(219) 755-4790

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Dentists of Northwest Indiana PC

  • Endodontics
  • Merrillville, IN
  • NPI 1588703250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1003300336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LINCOLN HWY STE N",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106452",
            "telephone_number": "219-769-6444",
            "fax_number": "219-755-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LINCOLN HWY STE N",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106452",
            "telephone_number": "219-769-6444",
            "fax_number": "219-755-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 45th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213960",
            "country_code": "US",
            "telephone_number": "219-924-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "THOMAS",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012949A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Home Health Care LLC
• NG Medical Center LLC
• Thach N Nguyen, MD
• Travis Nguyen
• Brianna Nichols, RBT
• Tiffany Nichols
• Joelle Niemzyk
• Christopher Nieves-O'Brien
• Nightingale Therapy Inc.
• Nikki Wargo DDS Inc

• General Practice Dentistry in Merrillville, IN
• Providers in Merrillville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.