Carol Nixon, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10656 Issued in TN

Practice address

927 N. James Campbell Blvd
Suite 106, BLDG 1
Columbia, TN 38401

Phone

(931) 548-1333

NPI assigned

May 20, 2014

Sex

Female

Sole proprietor

No

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.

• Spark Dental TN, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smyrna, TN
  • NPI 1154087120

  Pediatric Dentistry

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2018.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1154733509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N. JAMES CAMPBELL BLVD",
            "address_2": "SUITE 106, BLDG 1",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-548-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N. JAMES CAMPBELL BLVD",
            "address_2": "SUITE 106, BLDG 1",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-548-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019030615",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lynnette Nichols, LPTA
• Jeremy Nickell
• Sheila C. Nickell, M.A., CAI
• Adam Christopher Nielsen, PHARM D
• Andrew Karl Nielsen, M.D.
• Phyllis Ann Nobles, LCSW
• Melissa Nolan
• Theresa Norris, MSN
• Northland Hearing Center, Inc.
• Northside Medical Professionals, P.C.

• All providers in Columbia, TN
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.