Richard Douglas Nickels, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8206 Issued in GA

Practice address

5775 Ridgetop Dr
Gainesville, GA 30504-9024

Phone

(770) 536-3827

NPI assigned

Nov 1, 2017

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

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1407368269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 RIDGETOP DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305049024",
            "telephone_number": "770-536-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 RIDGETOP DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305049024",
            "telephone_number": "770-536-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "RICHARD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "8206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Abela Ngwainmbi, M.D.
• Angel Nichols, PA
• Erin Kathleen Nichols, M.ED. CCC-SLP
• Lyndsey Brooke Nichols, DPT
• Heidi T Nicholson, MD
• Jason Jamesryan Rutland Nierenhausen, ATC
• Derek Nathaniel Nikolaus
• Joy Nish Nix, DO
• William A Nish, M.D.
• Margaret Jesseca Nivens

• Dentist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.