William Daniel Nicholson III, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D8367 Issued in TX

Practice address

700 Walter Reed Blvd
Ste 301
Garland, TX 75042-3716

Phone

(972) 494-3100

Fax

(972) 494-1200

NPI assigned

Jun 23, 2005

Last updated

Apr 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dan Nicholson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Garland ASC Services, P.a.

  • Anesthesiology Physician
  • Garland, TX
  • NPI 1356621502
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1205832326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "STE 140",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-494-3100",
            "fax_number": "972-487-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WALTER REED BLVD",
            "address_2": "STE 301",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423716",
            "telephone_number": "972-494-3100",
            "fax_number": "972-494-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D8367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034811201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "NICHOLSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vu Thi Nguyen, PHARM D
• Benedict Ngwa, PHARMD
• Nhan-Ai, LLC
• Habiboola Niamatali, M.D
• Lindsey E Nichols, MSN-FNP
• Daniel Keith Nickell, PHARM.D
• Kristina Anne Nickerson, COTA
• Nicon Healthcare Services,Inc.
• Elisheva Niedelman, D.M.D
• Michael Niedermair

• Surgery Physician in Garland, TX
• Providers in Garland, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.