Rhea A Nicklow, MS, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022150 Issued in OH

Practice address

1611 Akron Peninsula Rd Ste B
Akron, OH 44313-7931

Phone

(330) 928-7774

Fax

(330) 928-0898

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rhea A Nicklow Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• DRS. Mann & Sedor Inc.

  • Dentist
  • Cleveland, OH
  • NPI 1790764280
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1437177185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 AKRON PENINSULA RD STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137931",
            "telephone_number": "330-928-7774",
            "fax_number": "440-845-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 AKRON PENINSULA RD STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137931",
            "telephone_number": "330-928-7774",
            "fax_number": "330-928-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLOW",
        "first_name": "RHEA",
        "middle_name": "A",
        "credential": "MS, DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHEA",
            "last_name": "NICKLOW",
            "middle_name": "A",
            "credential": "MS, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tawnya Mae Nichols
• Brooke Ellen Nicholson
• Jacob R Nicholson II
• Marcia Nicholson, CDCA
• Michelle Nicholson, CNP
• Emily Marie Nickol, BS
• Rachel L Nicodemo, CRNA
• Amy Nicolazzo
• Otfried N Niedermaier, MD
• Stephanie Niedermier, LSW

• General Practice Dentistry in Akron, OH
• Providers in Akron, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.