Linda Kay Nichols, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1361 Issued in NM

Practice address

3900 Eubank Blvd NE
Suite 11
Albuquerque, NM 87111-3465

Phone

(505) 292-3933

Fax

(505) 275-3374

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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 NM

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194737049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113465",
            "telephone_number": "505-292-3933",
            "fax_number": "505-275-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE",
            "address_2": "SUITE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113465",
            "telephone_number": "505-292-3933",
            "fax_number": "505-275-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea C. Nichol, DO
• Chelsea Diane Nichols
• Deanna L Nichols, OT
• Janeil F Nichols
• Janet Elizabeth Nichols, M.D.
• Patricia Marie Nichols, DOM
• Tracy Lynn Nichols
• Audra Jayne Nickel
• Ursula Maria Luise Nickel, DOM
• Amanda Sabria Nickelberry

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.