Active NPI
Richard Alan Nichols, PA DPM
- Podiatrist
- Grapevine, TX
National Provider Identifier
1619082294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 917
- Practice address
- 1600 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579 - Phone
- (817) 481-4000
- Fax
- (817) 421-0732
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 917 | TX | Primary |
Addresses
Primary practice location
1600 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579
Mailing address
1600 Lancaster
Suite 102
Grapevine, TX 76051
Phone (817) 481-4000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809001011 | TX | Practitioner - Podiatry | 8224000674 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richard a Nichols DPM P a
Practice addresses (Care Compare)
1600 Lancaster Dr
Grapevine, TX 76051-3579
Phone (817) 481-4000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of nail tissue | 30 |
| Removal or shaving of skin growth | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a Nichols, DPM, PA | Current | Accepting new patients | |
| Richard a. Nichols D P M P a | Podiatrist | Current | Accepting new patients |
Locations
1600 Lancaster Dr
Ste 102
Grapevine, TX 76051
Phone (817) 481-4000
1141 Keller Pkwy
Ste C
Keller, TX 76248
Phone (469) 930-4655
Interoperability endpoints
- richardnicholsdpm@randpmpa-tx.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Keller, TX
- NPI 1134455256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1619082294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LANCASTER",
"address_2": "SUITE 102",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-481-4000",
"fax_number": "817-421-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LANCASTER DR",
"address_2": "SUITE 102",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513579",
"telephone_number": "817-481-4000",
"fax_number": "817-421-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PA DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.