Rick Jason Nichols, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40973 Issued in CA

Practice address

104 E.Olive Ave. #200
Redlands, CA 92374

Phone

(909) 798-0604

Fax

(909) 798-9765

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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.

• Rick J Nichols DDS Inc

  • Pediatric Dentistry
  • Redlands, CA
  • NPI 1811264161
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1720173115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E.OLIVE AVE. #200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-798-0604",
            "fax_number": "909-798-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E.OLIVE AVE. #200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-798-0604",
            "fax_number": "909-798-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RICK",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhon Thi Nguyen, MD
• Phong Ky Nguyen, M.D
• Thao Phuong Nguyen, PHARMD
• Nhon Nguyen, M.D. and Anh Nong, M.D., Inc.
• Nicholas J. Williams, DDS, a Professional Corporation
• Virginia Nicolas, RESPIRATORY THERAPY
• Marie Ellen Nielsen, MS, PA-C
• Kayla Niere
• Jessica Nieves, SLP
• Ellicia Darlene Nikijuluw

• Pediatric Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.