Joseph Robert Nichols, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

228 E Main St
Knoxville, IL 61448-1351

Phone

(309) 289-8609

Fax

(309) 289-2583

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750497798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E MAIN ST",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481351",
            "telephone_number": "309-289-8609",
            "fax_number": "309-289-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E MAIN ST",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481351",
            "telephone_number": "309-289-8609",
            "fax_number": "309-289-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knox County Nursing Home
• Michael Kotula, D.C.
• Laurianne Santos Llamanzares
• Katherine Michele Morrissey, OTD
• Michelle Nelson, COTA/L
• Petersen Health Systems, Inc (Courtyard Estates of Knoxville)
• Felicia Potter, CNA
• Ellen Kay Reed
• Robert W. & Amy White (White Chiropractic)
• Melissa Kay Schenkel

• General Practice Dentistry in Knoxville, IL
• Providers in Knoxville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.