Individual provider Active NPI

Richard Alan Nichols, PA DPM

  • Podiatrist
  • Grapevine, TX
National Provider Identifier
1619082294
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
917 Issued in TX
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

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

Practice addresses (Care Compare)

1600 Lancaster Dr
Grapevine, TX 76051-3579
Phone (817) 481-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of nail tissue30
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Nichols, DPM, PA CurrentSince Feb 1, 1999 Accepting new patients
Richard a. Nichols D P M P a Podiatrist CurrentSince Feb 1, 1999 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

  • Direct secure messaging: richardnicholsdpm@randpmpa-tx.direct.office.nextgen.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.