Active NPI
Dennis Darrel Nichols, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD00033460
- Practice address
- 314 Martin Luther King Jr Way
#202
Tacoma, WA 98405-4250 - Phone
- (253) 403-7257
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD00033460 | WA | Primary |
Addresses
Primary practice location
314 Martin Luther King Jr Way
#202
Tacoma, WA 98405-4250
Mailing address
314 Martin Luther King Jr Way
#202
Tacoma, WA 98405-4250
Phone (253) 403-7257
Other practice location 1
62 W 7th Ave
Spokane, WA 99204-2321
Phone (509) 456-0262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dnichols352955@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033460 | WA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Providence Health & Services-Wa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
2979 Squalicum Pkwy
Ste 201
Bellingham, WA 98225
Phone (360) 756-6800
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
62 W 7th Ave
Spokane, WA 99204
Phone (844) 552-2734
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
314 Martin Luther King Jr Way
Ste 202
Tacoma, WA 98405
Phone (253) 403-7257
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- dnichols352955@wm.providencedirect.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spokane, WA
- NPI 1538311287
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Pediatrics Physician
- Tacoma, WA
- NPI 1033162383
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1154015592
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
- Cardiovascular Disease Physician
- Spokane, WA
- NPI 1881907715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1245205848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 MARTIN LUTHER KING JR WAY",
"address_2": "#202",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054250",
"telephone_number": "253-403-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MARTIN LUTHER KING JR WAY",
"address_2": "#202",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054250",
"telephone_number": "253-403-7257"
}
],
"practiceLocations": [
{
"address_1": "62 W 7th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042321",
"country_code": "US",
"telephone_number": "509-456-0262",
"fax_number": "509-625-1868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "DENNIS",
"middle_name": "DARREL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD00033460",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dnichols352955@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "62 W 7th Ave",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.