Nicholas Novakovich, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7461 Issued in OK

Practice address

6616 S Western Ave
Oklahoma City, OK 73139-1708

Phone

(405) 601-7852

Fax

(405) 601-7879

NPI assigned

May 28, 2021

Last updated

May 28, 2021By 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

Practice roles

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.

• Okc Prosth PLLC

  dba Southwest OKC Oklahoma Implants and Dentures

  • Dentist
  • Oklahoma City, OK
  • NPI 1700459559
  NPD (past)
• Summer Dental Midwest City, PLLC

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1518578095
  NPD (past)
• Summer Dental Moore PLLC

  • General Practice Dentistry
  • Moore, OK
  • NPI 1578056065
  NPD (past)
• Summer Dental Shawnee PLLC

  • Dentist
  • Shawnee, OK
  • NPI 1548834872
  NPD (past)

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1043886278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-310-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391708",
            "telephone_number": "405-601-7852",
            "fax_number": "405-601-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKOVICH",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hicham Jean Baptiste Nouh
• Nour Alsham
• Nourished
• Alexandra Nicole Novak, PA-C
• Scarlett Novak
• Noval Senior Care L.L.C.
• Angela Summers Novey, RN
• Anita Leigh Novey
• Jennifer Marie Noviello
• Novus PLLC

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.