Active NPI
Nicole Nahaku Nakashima, D.D.S.
- Dentist
- Usaf Academy, CO
National Provider Identifier
1225460181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00201796
- Practice address
- 2355-B Faculty Drive
10 DS/SGD
Usaf Academy, CO 80840-1805 - Phone
- (719) 333-5192
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00201796 | CO | Primary |
Addresses
Primary practice location
2355-B Faculty Drive
10 DS/SGD
Usaf Academy, CO 80840-1805
Mailing address
2355-B Faculty Drive 10DS/SGD
Colorado Springs, CO 80840-1805
Phone (808) 234-8312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00201796 | Other | CO | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00201796 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1225460181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355-B FACULTY DRIVE 10DS/SGD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "808401805",
"telephone_number": "808-234-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355-B FACULTY DRIVE",
"address_2": "10 DS/SGD",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808401805",
"telephone_number": "719-333-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKASHIMA",
"first_name": "NICOLE",
"middle_name": "NAHAKU",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00201796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "00201796",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.