Suzette D Nikas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009741 Issued in IN

Practice address

13190 Hazel Dell Pkwy
Suite 160
Carmel, IN 46033-8531

Phone

(317) 706-1111

Fax

(317) 706-8993

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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 IN

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

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215088497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 HAZEL DELL PKWY",
            "address_2": "SUITE 160",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338531",
            "telephone_number": "317-706-1111",
            "fax_number": "317-706-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 HAZEL DELL PKWY",
            "address_2": "SUITE 160",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338531",
            "telephone_number": "317-706-1111",
            "fax_number": "317-706-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAS",
        "first_name": "SUZETTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nightingale Home Healthcare Inc
• Nightingale Hospice Care Inc.
• Nightingale Hospice Care Inc.
• Nightingale Hospice Care, Inc.
• Nightingale Transportation Services, Inc
• Yoshiki Nishizawa, MD
• Emma Nitsos
• No-Off Season, LLC
• Kayla Ann Nobbe, FNP
• Abigail L Noble, MSW, LSW

• General Practice Dentistry in Carmel, IN
• Providers in Carmel, IN by specialty
• General Practice Dentistry in Indiana

• 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.