Scott Kevin Nicholson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6096 Issued in OR

Practice address

715 Elm St SW
Albany, OR 97321-1935

Phone

(541) 928-6650

Fax

(541) 928-6650

NPI assigned

Feb 15, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hannahs Dental LLC

  dba West Albany Dental

  • Dental Clinic/Center
  • Albany, OR
  • NPI 1417758889
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154395259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211935",
            "telephone_number": "541-928-6650",
            "fax_number": "541-812-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211935",
            "telephone_number": "541-928-6650",
            "fax_number": "541-928-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SCOTT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Hope Counseling of Albany (North Albany Wellness Center)
• New Life RTF LLC
• Stephen Roy Newman, M.D.
• Rebecca Jane Newport, RPH
• Marcy Nichols
• Kylee Nielsen
• Madeleine Suzanne Niemet, DPT
• Kristine R Niles
• Desiree Nixon
• Todd Wayne Noble, M.A., M.S., LPC

• General Practice Dentistry in Albany, OR
• Providers in Albany, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.