Individual provider Active NPI

Todd Nicol, DDS

  • Dentist
  • Santa Barbara, CA
National Provider Identifier
1710413893
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59656 Issued in CA
Practice address
5168 Hollister Ave
Santa Barbara, CA 93111-2526
Phone
(805) 692-8422
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59656 CA Primary

Addresses

Primary practice location

5168 Hollister Ave
Santa Barbara, CA 93111-2526

Mailing address

5736 Las Virgenes Rd Apt 208
Calabasas, CA 91302-2660
Phone (562) 310-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201000835 CA Practitioner - Dentist 2769835198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I Zak DDS Prof Dental Corp Dentist Current Accepting new patients
I Zak DDS Prof Dental Corp Dentist CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp Dentist CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp Dentist CurrentSince Dec 19, 2023 Accepting new patients

Locations

10501 Lakewood Blvd
Downey, CA 90241
Phone (562) 862-2341

10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341

3620 Long Beach Blvd
Ste B6
Long Beach, CA 90807
Phone (562) 426-6458

4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635

5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300

3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100

41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1710413893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 LAS VIRGENES RD APT 208",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022660",
            "telephone_number": "562-310-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112526",
            "telephone_number": "805-692-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOL",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.