Nickoli Dubyk, DMD

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

0401411533 Issued in VA

Practice address

9300 Dewitt Loop RM 1.320
Ft Belvoir, VA 22060-5285

Phone

(571) 231-3531

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1740337815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP RM 1.320",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP RM 1.320",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBYK",
        "first_name": "NICKOLI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411533",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "VA",
            "license": "0401411533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Downie
• Christina C Downing, PSY.D.
• David Drago, MD
• Ameurfinna Dimen Drake, NP APRN
• Carolyn Drislane, PT, DPT
• Simone Joanne Dugger, RN, CNM
• Shawnetta D Duncan, REGISTERED NURSE
• Michael Rennel Dunham, M.D.
• Lataya Elaine Duren, LCSW
• Susan Durham, RN

• Orofacial Pain Dentistry in Ft Belvoir, VA
• Providers in Ft Belvoir, VA by specialty
• Orofacial Pain Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.