Pamela a Nicoara DDS MSD PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10770 Issued in WA

Legal business name

PAMELA A NICOARA DDS MSD PLLC

Practice address

3125 Colby Ave
Suite H
Everett, WA 98201-4032

Phone

(425) 374-5380

Fax

(425) 374-5382

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Adrienne Nicoara, DDS MSD PLLCNPI 1962614719

Title

Owner/Periodontist

Phone

(425) 374-5380

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Adrienne Nicoara, DDS, MSD

  • Periodontics
  • Everett, WA
  • NPI 1962614719
  NPD (past) Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1366624629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012212",
            "telephone_number": "206-218-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE",
            "address_2": "SUITE H",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "425-374-5380",
            "fax_number": "425-374-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA A NICOARA DDS MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "NICOARA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "425-374-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD PLLC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lorena Palma Chavez, LMT
• Janet J Palmer
• Robert Andrew Palmer, DO
• Margaret Palmquest, M.D.
• Jeanette Palomarez, CO 60731554
• Jill Kathleen Pampino, OTR/L
• Hongying Pan
• Meihan Pan
• Pandagc Corp.
• Sandeep Pandit, M.D.

• Periodontics in Everett, WA
• Providers in Everett, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.