Individual provider Active NPI

Jennifer A. Nichols, DMD

  • General Practice Dentistry
  • Harrodsburg, KY
National Provider Identifier
1003960451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7516 Issued in KY
Practice address
756 N College St
Harrodsburg, KY 40330-1019
Phone
(859) 734-5111
Fax
(859) 734-5098
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7516 KY Primary

Addresses

Primary practice location

756 N College St
Harrodsburg, KY 40330-1019

Mailing address

756 N College St
Harrodsburg, KY 40330-1019
Phone (859) 734-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7516KYMDGeneral Practice Dentistry

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO C-SNP
  • TN PPO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003960451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N COLLEGE ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301019",
            "telephone_number": "859-734-5111",
            "fax_number": "859-734-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N COLLEGE ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301019",
            "telephone_number": "859-734-5111",
            "fax_number": "859-734-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.