Rick D. Nichols, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2719 Issued in AR

Practice address

920 W Emma Ave
Springdale, AR 72764-4472

Phone

(479) 751-8780

Fax

(479) 751-0465

NPI assigned

Oct 12, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Smile Center, P.a.

  • General Practice Dentistry
  • Springdale, AR
  • NPI 1851489835
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609965482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 MOUNTAIN SPRING DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010444",
            "telephone_number": "479-443-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W EMMA AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644472",
            "telephone_number": "479-751-8780",
            "fax_number": "479-751-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RICK",
        "middle_name": "D.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "59182",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "799894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Daniel Nicholas, PA-C
• Corey C Nichols, DDS
• Kayla Nichols
• Paul D Nichols
• Renetta Ruth Nichols, MSN, APRN, FNP-C
• Sherry Diane Nichols, LPN
• Matthew Nickle, P.T.
• Carrie A Nickles, LPC
• Kyra Drewery Nielsen, COTA/L
• Nine Two Six, Inc

• General Practice Dentistry in Springdale, AR
• Providers in Springdale, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.