Kathleen Marie Nichols, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15269 Issued in TX

Practice address

4101 84TH St
Ste C
Lubbock, TX 79423-1950

Phone

(806) 698-6684

Fax

(806) 698-1444

NPI assigned

Jun 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598760852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 84TH ST",
            "address_2": "STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231950",
            "telephone_number": "806-698-6684",
            "fax_number": "806-698-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 84TH ST",
            "address_2": "STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231950",
            "telephone_number": "806-698-6684",
            "fax_number": "806-698-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Nhan, SLP
• Cynthia Nichols, MD
• Debra Kay Nichols, LVN
• Jacob Nichols, MD
• Karen Eugena Nichols
• Shanna Tobi Dawn Nichols, LMSW
• Sheri Jo Nichols, RN FNP
• Tammie Doretta Nichols, M.ED., LPC, LCDC
• Brian Emison Nicholson, M.D.
• Thomas C. Nicholson, M.D.

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.