Katherine Nicholson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

3390 Issued in SC

Practice address

3 Wisteria Court
Spartanburg, SC 29307-3513

Phone

(864) 706-5398

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1073663142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WISTERIA COURT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073513",
            "telephone_number": "864-706-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WISTERIA COURT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293073513",
            "telephone_number": "864-706-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z33900",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NHC Healthcare/North Grove, LLC
• NHC Healthcare/Spartanburg, LLC
• Carol S Nichols, MD
• Jennifer A Nichols
• John T Nichols, MD
• Joseph Nicolazzi, D.O.
• Tara Naomi Nicolette, DO
• Brittany Shea Nielsen, PA-C
• Stephen Nix, C-AA
• Jennifer Nixon, ATC

• Dentist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.