Tammeka L Nickleberry, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

22283 Issued in TX

Practice address

1249 W Bay Area Blvd
Webster, TX 77598-3832

Phone

(281) 332-6206

NPI assigned

Mar 27, 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 TX

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

Practice roles

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.

• Smiles Galore

  • General Practice Dentistry
  • Houston, TX
  • NPI 1336410331
  NPD (past) Authorized official
• TLN Family Dental PA

  • Dentist
  • Houston, TX
  • NPI 1417198615
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245358498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 GASSER LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770855200",
            "telephone_number": "832-654-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W BAY AREA BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983832",
            "telephone_number": "281-332-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLEBERRY",
        "first_name": "TAMMEKA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transon Vu Nguyen
• Vy T Nguyen, FNP-C
• Nadia Niazi, M.D.
• Teresa Dobrec Nichtberger, RN, MSN, C-FNP
• Breanne Alyse Nickerson, RBT
• Nightlight After Hours Pediatrics PLLC
• Laith Al Nimri
• Niraj Choudhary MD PA
• Virginia M Nisbet, MD
• Jennifer Marie Nobles, NP

• All providers in Webster, TX
• Dentist in Texas

• 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.