Individual provider Active NPI

Nicholas Nagaki, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwalk, CT
National Provider Identifier
1376920785
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
13939 Issued in CT
Practice address
148 East Ave Ste 2J
Norwalk, CT 06851-5727
Phone
(203) 866-0061
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN.00204192 CO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13939 CT Primary

Addresses

Primary practice location

148 East Ave Ste 2J
Norwalk, CT 06851-5727

Mailing address

3701 S Clarkson St Ste 300
Englewood, CO 80113-3960
Phone (720) 254-3746

Other practice location 1

3701 S Clarkson St Ste 300
Englewood, CO 80113-3960
Phone (303) 806-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Scheduling@norwalkoms.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 18, 2023 through Apr 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DEN.00204192COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Surgical Arts CurrentSince Dec 7, 2025 Accepting new patients
Kimberly C Stone MD PC PastSince Aug 1, 2021 Accepting new patients

Locations

3701 S Clarkson St
Ste 300
Englewood, CO 80113
Phone (303) 806-8600

13402 W Coal Mine Ave
Ste 100
Littleton, CO 80127
Phone (303) 403-6550

9932 Twenty Mile Rd
Parker, CO 80134
Phone (303) 806-8600

Interoperability endpoints

  • Direct secure messaging: scheduling@norwalkoms.com
  • Direct secure messaging: nicholas.nagaki@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1376920785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133960",
            "telephone_number": "720-254-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 2J",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515727",
            "telephone_number": "203-866-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 S Clarkson St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133960",
            "country_code": "US",
            "telephone_number": "303-806-8600",
            "fax_number": "303-806-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGAKI",
        "first_name": "NICHOLAS",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00204192",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Scheduling@norwalkoms.com",
            "affiliation": "N",
            "endpointDescription": "Office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "148 East Ave Ste 2J",
            "city": "Norwalk",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068515727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.