Individual provider Active NPI

Danielle Ann Nici, DDS

  • Periodontics
  • Iowa City, IA
National Provider Identifier
1083368229
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS-09961 Issued in IA
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

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DDS-09961OtherIAIOWA 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

LicenseStateTypeSpecialty
DDS-09961IAMDPeriodontist

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.

Verify at the official NPI Registry.