Nicholas Dybdal-Hargreaves, DDS, PHD

Primary specialty

DentistTaxonomy code 122300000X

License

35211 Issued in TX

Practice address

10103 W Loop 1604 N Ste 104
San Antonio, TX 78254-9716

Phone

(210) 495-2000

NPI assigned

Jul 25, 2019

Last updated

Jul 25, 2019By the provider in NPPES

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

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Braun 7To7 PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1417622432
  NPD
• SC Shine PLLC

  dba Texas Dental

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1356527949
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1033763438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549716",
            "telephone_number": "210-495-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBDAL-HARGREAVES",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara L Dwyer, OT
• Laura Dy
• Madison Dyal
• Deanna Dyall, RN
• Michael Reidar Dybdal-Hargreaves, MD
• Wendy Maria Dych, LPN
• Stanislaus Dyda, DDS
• Barbara Racheal Dyer, OTR
• Christopher Anthony Dyer, MD
• Gawain Dyer, M.D.

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.