Active NPI
Danielle Ann Nici, DDS
- Periodontics
- Iowa City, IA
National Provider Identifier
1083368229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DDS-09961
- Practice address
- 1517 Mall Dr
Iowa City, IA 52240-3111 - Phone
- (319) 337-3588
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 25503 | OK | |
| Periodontics | 1223P0300X | DDS-09961 | IA | Primary |
Addresses
Primary practice location
1517 Mall Dr
Iowa City, IA 52240-3111
Mailing address
1325 N Walker Ave Apt 338
Oklahoma City, OK 73103-6402
Phone (516) 333-5935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DDS-09961 | Other | IA | IOWA DENTAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09961 | IA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1083368229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 N WALKER AVE APT 338",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731036402",
"telephone_number": "516-333-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 MALL DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522403111",
"telephone_number": "319-337-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICI",
"first_name": "DANIELLE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OK",
"license": "25503",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IA",
"license": "DDS-09961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA DENTAL BOARD",
"identifier": "DDS-09961",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.