Timothy D Nichols, M.D.P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J1744 Issued in TX

Legal business name

TIMOTHY D NICHOLS, M.D.P.A.

Practice address

12606 Greenville Ave
Suite 160
Dallas, TX 75243-1921

Phone

(469) 364-7880

Fax

(469) 364-7895

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Timothy D Nichols, MD

Title

Self

Phone

(940) 626-0059

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1376776187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797885",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797885",
            "telephone_number": "940-626-0059",
            "fax_number": "940-627-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "469-364-7880",
            "fax_number": "469-364-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D NICHOLS, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "940-626-0059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126533203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Lansing Timmons, M.D.
• Breuna Janielle Timmons, M.A., LPC
• Charles Franklin Timmons Jr., MD
• Irina Timofte, MD
• Stephanie Timon, PT
• Timothy E. Cronin, DDS, Inc.
• Timothy F. Malone, DO, PA
• Timothy Ross Lee, PC (Maverick Anesthesia Services, PLLC)
• Lauren Tindall
• Kaitlin Tindel, PHARMD

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.