NPIMap

Organization Active NPI

Jim Nichols, DDS Apdc

  • General Practice Dentistry
  • Lafayette, LA
National Provider Identifier
1386866739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3864 Issued in LA
Legal business name
JIM NICHOLS, DDS APDC
Practice address
401 Settlers Trace Rd
Lafayette, LA 70508-6048
Phone
(337) 991-0766
Fax
(337) 991-0594
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jim Nichols, D.D.S.
Title
Owner, President
Phone
(337) 991-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3864 LA Primary

Addresses

Primary practice location

401 Settlers Trace Rd
Lafayette, LA 70508-6048

Mailing address

401 Settlers Trace Rd
Lafayette, LA 70508-6048
Phone (337) 991-0766

National Provider Directory

National Provider Directory

Locations

401 Settlers Trace Blvd
Lafayette, LA 70508
Phone (337) 991-0766

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386866739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SETTLERS TRACE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086048",
            "telephone_number": "337-991-0766",
            "fax_number": "337-991-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SETTLERS TRACE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086048",
            "telephone_number": "337-991-0766",
            "fax_number": "337-991-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM NICHOLS, DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "337-991-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.