Nicolas Nieto, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17438 Issued in FL

Practice address

701 Enterprise Rd E
Ste #201
Safety Harbor, FL 34695-5350

Phone

(727) 799-2400

NPI assigned

Aug 11, 2006

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1710998752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ENTERPRISE RD. EAST",
            "address_2": "STE #201",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955303",
            "telephone_number": "727-799-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ENTERPRISE RD E",
            "address_2": "STE #201",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955350",
            "telephone_number": "727-799-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk A Nelson, D.O.
• Minh B Ngo, MD
• Matthew Trieu Nguyen, PHARMD
• Van Q. Nguyen, M.D.
• David Nicker, MD
• Deborah Adams Nikjeh
• Christy Leigh Nolan, D.O.
• NP Mental Health Services PLLC
• Sheila Marie Nugent, L.M.H.C.
• Sarah O'Rourke, PHARMD

• General Practice Dentistry in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.