Individual provider Active NPI

Nicole Claire McNear, D.M.D.

  • Pediatric Dentistry
  • Westminster, CO
National Provider Identifier
1154638328
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10296 Issued in CO
Practice address
905 W 124TH Ave Ste 190
Westminster, CO 80234-1716
Phone
(303) 280-9036
Fax
(303) 280-2514
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10296 CO Primary

Addresses

Primary practice location

905 W 124TH Ave Ste 190
Westminster, CO 80234-1716

Mailing address

905 W 124TH Ave Ste 190
Westminster, CO 80234-1716
Phone (303) 280-9036

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
10296COMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1154638328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 124TH AVE STE 190",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341716",
            "telephone_number": "303-280-9036",
            "fax_number": "303-280-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 124TH AVE STE 190",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341716",
            "telephone_number": "303-280-9036",
            "fax_number": "303-280-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAR",
        "first_name": "NICOLE",
        "middle_name": "CLAIRE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "10296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.