John Nikodem, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2026023637 Issued in MO

Practice address

1121 W Gannon Dr
Festus, MO 63028-2602

Phone

(636) 937-9133

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jack Nikodem Other name

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": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1477487650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S BRENTWOOD BLVD APT 611",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441846",
            "telephone_number": "314-954-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282602",
            "telephone_number": "636-937-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKODEM",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026023637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "NIKODEM",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Naucke
• Neuromar
• Anika Abena Nicholas
• Tom J Nienhaus, PHARMD
• Gerard Patrick Nikodem, DDS
• Ryan Nikodem, D.D.S.
• Noks Corporation PC (The Vascular Associates)
• Brooklynn Nolfo, RDH
• Katherine Norrick, MSN-FNP, PT, DPT
• Paden Norrick, DPT

• Dentist in Festus, MO
• Providers in Festus, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.