NPIMap

Organization Active NPI

James S Nicholsondds

  • Dental Clinic/Center
  • Muskogee, OK
National Provider Identifier
1699940064
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3655 Issued in OK
Legal business name
JAMES S NICHOLSONDDS
Practice address
730 Callahan St
Muskogee, OK 74403-5143
Phone
(918) 682-6452
Fax
(918) 682-6505
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. James S Nicholson, DDSNPI 1457573750
Title
Owner/ President
Phone
(918) 682-6452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3655 OK Primary

Addresses

Primary practice location

730 Callahan St
Muskogee, OK 74403-5143

Mailing address

730 Callahan St
Muskogee, OK 74403-5143
Phone (918) 682-6452

National Provider Directory

National Provider Directory

Locations

730 Callahan St
Muskogee, OK 74403
Phone (918) 682-6452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1699940064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 CALLAHAN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035143",
            "telephone_number": "918-682-6452",
            "fax_number": "918-682-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CALLAHAN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035143",
            "telephone_number": "918-682-6452",
            "fax_number": "918-682-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S NICHOLSONDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "918-682-6452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.