Active NPI
Nicholas Nagaki, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204192 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Surgical Arts | Current | Accepting new patients | |
| Kimberly C Stone MD PC | Past | 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
- scheduling@norwalkoms.com
- 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.
-
dba Precision Oral Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Englewood, CO
- NPI 1952677973
-
- Dermatology Physician
- Englewood, CO
- NPI 1053597849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.