Myra Jean Nikitas, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

02520 Issued in NH

Practice address

97 West Merrimack Street
Manchester, NH 03101

Phone

(603) 669-8678

Fax

(603) 625-8373

NPI assigned

Mar 17, 2015

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

Other names 1

• Ms. Myra Jean Katis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Traveling Tooth Fairies

  • Dental Clinic/Center
  • Nashua, NH
  • NPI 1528897865
  NPD Authorized official
• Hearty Smiles PC

  • Dentist
  • Manchester, NH
  • NPI 1588353734
  NPD (past)

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1306239207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WEST MERRIMACK STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-669-8678",
            "fax_number": "603-625-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WEST MERRIMACK STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-669-8678",
            "fax_number": "603-625-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKITAS",
        "first_name": "MYRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NH",
            "license": "02520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "KATIS",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leon Nied-Gasey
• Jordan Nied
• Gary Michael Niemcewicz, RPH
• James Frank Niesuchouski, BS
• Jessica Niewodowski, DO
• Nile Medical Rider LLC
• Ryan Nitz, BS
• Robert Davis Nitzschke, L.M.T.
• Elias Muchuma Niva, MSW
• Kenneth A Nizza, D.O.

• Dental Hygienist in Manchester, NH
• Providers in Manchester, NH by specialty
• Dental Hygienist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.