Cade Carl Nykamp, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DB-2024-0167 Issued in NM

Practice address

770 Broadmoor Blvd NE
Rio Rancho, NM 87124-3442

Phone

(505) 891-0554

NPI assigned

Jun 17, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 770 Broadmoor Rio Rancho Professional LLC

  • Dentist
  • Rio Rancho, NM
  • NPI 1841890373
  NPD
• Sundance Dental Care of Rio Rancho, LLC

  • Dentist
  • Rio Rancho, NM
  • NPI 1164725503
  NPD (past)

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1386487437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243442",
            "telephone_number": "505-891-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243442",
            "telephone_number": "505-891-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYKAMP",
        "first_name": "CADE",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DB-2024-0167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Novak
• Themis Ntalageorgos, M. D.
• Numinous Counseling and Wellness, LLC
• Kameryn E Nunez
• Marissa Nunez, RN
• Stany Bizimana Nzabarinda
• Tariq O'Brien
• Shawn David O'Connell, LPCC
• Christian Obeji
• Patrick O Obermuller

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.