Donald Nikchvich, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

036186 Issued in CA

Practice address

911 Hampshire Rd
Ste. 4
Westlake Village, CA 91361-2818

Phone

(805) 495-7416

Fax

(805) 495-7416

NPI assigned

Mar 12, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 8, 2018 through Jan 8, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Westlake Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Westlake Village, CA
  • NPI 1467314963
  NPD
• The Regents of the University of California

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1164487518
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669504627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD",
            "address_2": "STE. 4",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612818",
            "telephone_number": "805-495-7416",
            "fax_number": "805-495-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD",
            "address_2": "STE. 4",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612818",
            "telephone_number": "805-495-7416",
            "fax_number": "805-495-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKCHVICH",
        "first_name": "DONALD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "036186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soraya Nguyen
• Kelly Ann Nicassio, LMFT
• Sarah Nicholson, LMFT
• Nicole Sanada Physical Therapy, PC
• Maria Nieves
• Debra Catherine Nino, D.C.
• Ninus Ebrahimi, DMD, a Dental Corporation
• Ninus Ebrahimi, DMD, a Dental Corporation
• Grant Nishimura, DDS, MD
• Russell Dean Nishimura, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.