Elham Nik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104755 Issued in CA

Practice address

1009 N H St Ste P
Lompoc, CA 93436-8141

Phone

(805) 214-4532

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Elham Nik DDS Inc

  • Dental Clinic/Center
  • Santa Maria, CA
  • NPI 1215642483
  NPD Authorized official
• Koushan Azad Dental Corpopration

  • Dental Clinic/Center
  • San Luis Obispo, CA
  • NPI 1477030351
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1770123515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 CURTIS CT APT B421",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934557482",
            "telephone_number": "773-564-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N H ST STE P",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368141",
            "telephone_number": "805-214-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3870 Broad St # St1",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017172",
            "country_code": "US",
            "telephone_number": "805-202-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIK",
        "first_name": "ELHAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Leaf
• Kelley Cuong Nghiem, PHARMD
• Duc Nguyen, M.D.
• Noah Mitchell Nickell
• Alex David Niedrauer
• Sara Nimmons, MD
• Gloria Maria Nuno-Zepeda, LMFT #123924
• Bonnie O'Brien
• Meaghan O'Leary, PT, DPT
• Kathleen Donnelly O'Neill

• General Practice Dentistry in Lompoc, CA
• Providers in Lompoc, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.