Nicholas Nutile, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025697 Issued in OH

Practice address

325 S Market St
Wooster, OH 44691-4760

Phone

(330) 264-6519

NPI assigned

Apr 12, 2017

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

Enrolled in OH

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

State licenses

Practice roles

Locations

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.

• Healthcare 2000 Community Clinic Inc

  • Rural Health Clinic/Center
  • Wooster, OH
  • NPI 1518206754
  Medicare reassignment NPD
• Healthcare 2000 Community Clinic Inc

  • Dentist
  • Wooster, OH
  • NPI 1023694171
  NPD

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1104350693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914760",
            "telephone_number": "330-264-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914760",
            "telephone_number": "330-264-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTILE",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ama Nkyima Nuamah
• Brittany Nussbaum, OTA
• Karita Nussbaum
• Megan Jazelle Nussbaum
• Megan Nicole Nussbaum, LSW
• Nuway Homeopathic LLC
• Frederick Micah Nuzum, D.D.S., M.S.
• Jessica Larae O'Neal, PT, DPT
• Raven Obi, CDCA
• Joni M. Obrecht, MA, PC

• General Practice Dentistry in Wooster, OH
• Providers in Wooster, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.