Les E. Nicholson D.D.S. Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

2331 Issued in WV

Legal business name

LES E. NICHOLSON D.D.S. INC.

Practice address

112 E Court St
Kingwood, WV 26537-1437

Phone

(304) 329-1691

Fax

(304) 329-3382

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Les Edward Nicholson, D.D.S.

Title

President

Phone

(304) 329-1691

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Les E Nicholson DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Les E. Nicholson D.D.S. Inc.

  • Dentist
  • Morgantown, WV
  • NPI 1457397432
  NPD tax ID

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649201443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265370486",
            "telephone_number": "304-329-1691",
            "fax_number": "304-329-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E COURT ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371437",
            "telephone_number": "304-329-1691",
            "fax_number": "304-329-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LES E. NICHOLSON D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "LES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-329-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA CORP #",
            "identifier": "42673",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136227001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richelle Ann Layman
• Susan Marie Layne
• Courtney Layton, AGACNP-BC
• Teresa Elizabeth Layton
• Dina Kay Lefebvre, RN
• Pamela Lewis
• Life Guard Inc.
• Emily Paige Livengood
• Katlyn Logsdon, PHARMD
• Jeanette Adriana Love, SLP

• Dentist in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.