Timothy J Nichols, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3618 Issued in WV

Practice address

HC 63 Box 3560
Romney, WV 26757-9722

Phone

(304) 822-4447

Fax

(304) 822-7943

NPI assigned

Oct 17, 2006

Last updated

Jun 30, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tim Nichols DDS Inc

  • General Practice Dentistry
  • Romney, WV
  • NPI 1831348820
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1730269267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STAYMAN DR",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576289",
            "telephone_number": "304-822-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3560",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267579722",
            "telephone_number": "304-822-4447",
            "fax_number": "304-822-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000198",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna K Nester
• Patricia Ann Newhouse
• Nextgen Virtual Care
• Morgan Nichols
• Suzanne Lea Nichols, SSP
• Linda Nickelson
• Northern WV Home Health, LLC (Hampshire Memorial Hospital Home Health)
• Northern WV Home Health, LLC (Valley Home Health / West Virginia)
• Alexander William Oates
• Amy Orndorff

• General Practice Dentistry in Romney, WV
• Providers in Romney, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.