Active NPI
Davia Nickelson, D.D.S
- Dentist
- Carrboro, NC
National Provider Identifier
1568876266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9782
- Practice address
- 301 Lloyd St
Carrboro, NC 27510-1823 - Phone
- (919) 933-8494
- NPI assigned
- Jun 20, 2014
- Last updated
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9782 | NC | Primary |
Addresses
Primary practice location
301 Lloyd St
Carrboro, NC 27510-1823
Mailing address
301 Lloyd St
Carrboro, NC 27510-1823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150928000013 | NC | Order and Referring Only - Dentist | 7113235060 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davia Nickelson DDS PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Complete Smiles of Hillsborough
- General Practice Dentistry
- Hillsborough, NC
- NPI 1770383564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1568876266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LLOYD ST",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LLOYD ST",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101823",
"telephone_number": "919-933-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELSON",
"first_name": "DAVIA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrboro, NC
- Courtney Neupert, PT
- Neville Chiropractic Center PC
- Wanda Jo Neville, DC
- Holly Newton
- Yulia Kleyner Neyman, D.O.
- Nightingale Nursing Services Inc.
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03833)
- North State Consortium for Psychosocial Wellness (InnerWork Psychotherapy & Counseling)
- Ailse O'Neill, OTR/L
- Julianna O'Parks, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.