Individual provider Active NPI

Brianna Jade Nicholson, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1356667208
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9985 Issued in CO
Practice address
2001 W Alameda Ave Unit D
Denver, CO 80223-1988
Phone
(303) 733-0567
NPI assigned
Apr 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9985 CO Primary

Addresses

Primary practice location

2001 W Alameda Ave Unit D
Denver, CO 80223-1988

Mailing address

1651 S Dale CT
Denver, CO 80219-4820
Phone (270) 278-3157

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

LicenseStateTypeSpecialty
9985COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brianna Nicholson CurrentSince Sep 25, 2022 Accepting new patients
RF Andrus LLC PastSince Aug 29, 2021 Accepting new patients

Locations

7373 W Jefferson Ave
Ste 203
Lakewood, CO 80235
Phone (303) 217-5221

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1356667208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 S DALE CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194820",
            "telephone_number": "270-278-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ALAMEDA AVE UNIT D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231988",
            "telephone_number": "303-733-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BRIANNA",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2021-08-24",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.