Nickolas Felten, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11814 Issued in OR

Practice address

2236 Pacific Ave
Forest Grove, OR 97116-2448

Phone

(503) 359-5481

NPI assigned

Jun 14, 2021

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

State licenses

Practice roles

Locations

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.

• Blue Jay Family Dentistry PLLC

  • Dentist
  • Maplewood, MN
  • NPI 1952287146
  NPD Authorized official
• Stonebrook Family Dental, LLC

  • Dental Clinic/Center
  • Forest Grove, OR
  • NPI 1982208559
  NPD
• Vaughn Gray Tidwell DMD PC

  • General Practice Dentistry
  • Forest Grove, OR
  • NPI 1578724407
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1497323711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S RIVER PKWY APT 417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394745",
            "telephone_number": "507-696-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 PACIFIC AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162448",
            "telephone_number": "503-359-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTEN",
        "first_name": "NICKOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Clair Evans
• Family Haven LLC
• Family Institute, P.C.
• Geoffrey Kirk Faris, D.M.D.
• Jonathan Bret Faris, DMD
• Ellen J Fiscus, MA, LPC, NCC
• Rebecca Flagg, RPH
• Janeen VI Flake, RPH
• Kate Flanagan, LPC
• Cheryl Lee Fletcher

• General Practice Dentistry in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.