Nicholas a Medel DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24965 Issued in TX

Legal business name

NICHOLAS A MEDEL DDS PC

Practice address

307 E Clinton Ave
Athens, TX 75751-3405

Phone

(586) 291-2078

NPI assigned

Aug 15, 2015

Organization subpart

No

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

Authorized official

Name

Nicholas Adam Medel, DDS/OMSNPI 1962631929

Title

Owner

Phone

(586) 291-2078

Specialties & licenses 1

Addresses

Other names 1

• Athens Oral & Facial Surgery Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medel Practice Management

  • Oral and Maxillofacial Surgery (Dentist)
  • Corsicana, TX
  • NPI 1407324288
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Adam Medel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Athens, TX
  • NPI 1962631929

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439596800000",
    "number": "1538535331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513405",
            "telephone_number": "586-291-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513405",
            "telephone_number": "586-291-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A MEDEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A",
        "authorized_official_last_name": "MEDEL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-291-2078",
        "authorized_official_credential": "DDS/OMS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Marie Mycke, LCSW
• John Dempsey Myers II, CRNA
• Lynn H Negrete, LPC
• Nettune Eye Associates
• Robert Joseph Nettune, M.D.
• Robert Craig Nicks, PHD
• Cynthia Nixon, FNP
• Uthman Njihia, PMHNP-BC
• Northland Hearing Center, Inc.
• Robert Carl Nunn, LPTA

• All providers in Athens, TX
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.