Brian Keith Nicoll, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

28365 Issued in CA

Practice address

2581 Nut Tree Rd
Suite D
Vacaville, CA 95687-6915

Phone

(707) 451-8352

Fax

(707) 451-8234

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053471706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-451-8352",
            "fax_number": "707-451-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "SUITE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-451-8352",
            "fax_number": "707-451-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLL",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "28365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Nguyen
• Uyen Nguyen, RPH
• Hang T Nhan, OD
• Troy Nichols, PHARM D.
• John Elkanah Nicol
• Tracy Niederberger
• Carrie A Nielsen, CPT, PT ASCP
• Eric John Niemeyer, PSY. D.
• Paola Andrea Nieto Jimenez
• Crystalyn Nightingale, BSN, RN, IBCLC

• Periodontics in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Periodontics in California

• 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.