Active NPI
Nicholas James Storer, RDH
- Dental Hygienist
- Brewster, MA
National Provider Identifier
1336038496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DHNE10870
- Practice address
- 2187 Main St
Brewster, MA 02631-1817 - Phone
- (508) 896-5951
- NPI assigned
- Jul 1, 2025
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DHNE10870 | MA | Primary |
Addresses
Primary practice location
2187 Main St
Brewster, MA 02631-1817
Mailing address
89 Windshore Dr
Hyannis, MA 02601-2566
Phone (774) 313-0237
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 |
|---|---|---|---|
| DHNE10870 | MA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakwater Dental, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Brewster, MA
- NPI 1255564282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1336038496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 WINDSHORE DR",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026012566",
"telephone_number": "774-313-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2187 MAIN ST",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311817",
"telephone_number": "508-896-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORER",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DHNE10870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.