John Clark Nickell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16529 Issued in TX

Practice address

3420 S Alameda St
Corpus Christi, TX 78411-1720

Phone

(361) 857-5494

Fax

(361) 852-1984

NPI assigned

Mar 22, 2007

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.

• Corpus Christi General & Implant Dentistry

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1811013584
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073639738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111720",
            "telephone_number": "361-857-5494",
            "fax_number": "361-852-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111720",
            "telephone_number": "361-857-5494",
            "fax_number": "361-852-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "JOHN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Annabelle Nichols, OT
• Molly Marion Nichols, FNP-C
• Robert Nichols, RPH
• Noel Nani Nick, PSYD
• Diana Nickel
• Mark Christopher Nicosia, D.C.
• Tanner Nielsen, DO
• Jose Enrique Nieves, PA-C
• Nirp Corpus Christi PLLC
• Alan A. Nisbet, MD

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Dentistry in Texas

• 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.