Stephanie Nichols DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEPHANIE NICHOLS DMD LLC

Practice address

4259 Robert C Byrd Dr
Beckley, WV 25801-2223

Phone

(304) 207-0999

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Stephanie Nichols

Title

Owner

Phone

(304) 207-0999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldonia Khrystel Evans, DDS

  • Dentist
  • Beckley, WV
  • NPI 1215675418
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1629583190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012223",
            "telephone_number": "304-207-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE NICHOLS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-207-0999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Stclair, LPN
• Tina Stearns
• Kyla Steed
• Kevin Darrell Steele, LPN
• Betty Jean Stegel
• Stephen H. Blaydes
• Stephen W Finch DDS PC
• Steve Childress II, DDS
• Kelli Lynn Stevens
• Meredith Stevens, RPH

• General Practice Dentistry in Beckley, WV
• Providers in Beckley, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.