Brent O Nichols DDS Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENT O NICHOLS DDS APC

Practice address

18800 Delaware St Ste 600
Huntington Beach, CA 92648-6017

Phone

(714) 960-2600

Fax

(714) 960-2699

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent O Nichols, DDSNPI 1548485584

Title

Owner, Dentist

Phone

(714) 724-9072

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Owen Nichols, D.D.S

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1548485584
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1184368953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 600",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486017",
            "telephone_number": "714-724-9072",
            "fax_number": "714-960-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 600",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486017",
            "telephone_number": "714-960-2600",
            "fax_number": "714-960-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT O NICHOLS DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "714-724-9072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "46509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Braxton, COTA
• Erin Bray, PHD
• Brazeal Dental Corporation
• Breakwater Family Therapy Group Inc.
• Arnold J Brender, MD
• Brenwitz Inc. (The Workout Fitness Studio)
• Gracie Brestel
• Tiffany Leyla Brett
• Adrienne Brewer, MA, BCBA
• Kevin Andrew Brewer, D.D.S. MD

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.