Richard A. Nicklas, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

0101025325 Issued in VA

Practice address

1830 Town Center Dr
Suite #206
Reston, VA 20190-3236

Phone

(703) 437-5151

Fax

(703) 280-4650

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: rnicklas19795@gwmfa.direct-ci.com

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1467412510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 ARLINGTON BLVD",
            "address_2": "SUITE #308",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315218",
            "telephone_number": "703-573-4440",
            "fax_number": "703-280-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE #206",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903236",
            "telephone_number": "703-437-5151",
            "fax_number": "703-280-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLAS",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DC",
            "license": "MD3203",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101025325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas T Nguyen, MD
• Thuan Nguyen
• Vy N Nguyen, PHARMD
• Nicholas a Muss DDS
• Sandra Bruce Nichols, MD
• Cordelia Nieketien-Tawari, DNP, APRN-BC. LNP
• Joshua Niekranz, PMHNP-BC
• Gayle P Nissen, LCSW
• Michael Ayuk Nkongho, PHARM. D
• Eduardo Christian Noguera, M.D.

• Allergy Physician in Reston, VA
• Providers in Reston, VA by specialty
• Allergy Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.