Sophia Danielle Nicolosi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40655 Issued in TX

Practice address

903 Bay Area Blvd Ste a
Houston, TX 77058-2648

Phone

(281) 488-2200

NPI assigned

Jun 20, 2024

Last updated

Jun 21, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1275377731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15006 SWANLEY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622535",
            "telephone_number": "713-398-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BAY AREA BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582648",
            "telephone_number": "281-488-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10370 Richmond Ave # 310",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770424141",
            "country_code": "US",
            "telephone_number": "281-606-1713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLOSI",
        "first_name": "SOPHIA",
        "middle_name": "DANIELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole S. Brassell O.D. P. C. (Brassell Eye Care)
• Nicole White (Accommodative Healthcare)
• Cristina Day Nicoletta, PA-C
• Nicolin Neal PLLC
• Louis Nicolosi, PT, DPT
• Roger Nicome, MD
• Patrick V. Nicosia, DDS, MS
• Mathilda Nicot-Cartsonis, MD
• Valeria Niculae, MSN, APRN, FNP-BC
• Fatima Nida, PA-C

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.