Nikodem and Hill Family Dental and Ortho

Primary specialty

DentistTaxonomy code 122300000X

License

014933 Issued in MO

Legal business name

NIKODEM AND HILL FAMILY DENTAL AND ORTHO

Practice address

200 Health Way Dr Ste 1
Potosi, MO 63664-1447

Phone

(573) 438-2118

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

NIKODEM AND HILL FAMILY DENTAL AND ORTHOAs reported in NPPES

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

Authorized official

Name

Dr. Gerard Patrick Nikodem, DDS

Title

Secretary

Phone

(573) 438-2118

Specialties & licenses 1

Addresses

Part of

Nikodem and Hill Family Dental and Ortho

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1679754790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTHWAY DR STE 1",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH WAY DR STE 1",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641447",
            "telephone_number": "573-438-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKODEM AND HILL FAMILY DENTAL AND ORTHO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIKODEM AND HILL FAMILY DENTAL AND ORTHO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "NIKODEM",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "573-438-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "014933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Jane Missey, L.M.T
• Sandra Lee Mitkos, FNP
• Alex Morgan
• Neal Neuman, MD
• Stacy Nichols, COTA/L
• Deirdre L Nivens, FAMILY NURSE PRACITI
• Nra-Washington County, Missouri, LLC (Fresenius Kidney Care Potosi)
• Audra Louise O'Neal, RDH
• Patrick A. Oruwari, MD
• Christy Lynn Pashia, LPC

• Dentist in Potosi, MO
• Providers in Potosi, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.