David Michael Nichols

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

195 E 840 S
Orem, UT 84058-5016

Phone

(801) 226-7696

Fax

(801) 225-7053

NPI assigned

Apr 27, 2010

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

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.

• Utah Valley Youth Services

  • Foster Care Agency
  • Orem, UT
  • NPI 1245799717
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1073830352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CORNERSTONE DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954533",
            "telephone_number": "801-616-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E 840 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585016",
            "telephone_number": "801-226-7696",
            "fax_number": "801-225-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexstep Medical Detox
• Nextgen Medical Supply LLC
• Nhu Phuong Thi Nguyen, PHARMD
• Alan Mark Nichols
• Cholana Nichols
• Jenissa Nichols
• Nicolas K. Young, D.M.D., Inc.
• Alissa Nielsen, PHARM.D
• Bernt Roar Nielsen, RPH
• Dianne Lindley Nielsen, PHD

• Clinical Social Worker in Orem, UT
• Providers in Orem, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.