Nicholas H. Psimos, DDS, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NICHOLAS H. PSIMOS, DDS, PLC

Practice address

1101 N Broadway
Rochester, MN 55906-6841

Phone

(507) 288-0126

Fax

(507) 529-0810

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas H. Psimos, D.D.S.

Title

Owner

Phone

(507) 288-0126

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Mark Hagen, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1508127812
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1770533531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066841",
            "telephone_number": "507-288-0126",
            "fax_number": "507-529-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066841",
            "telephone_number": "507-288-0126",
            "fax_number": "507-529-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS H. PSIMOS, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "PSIMOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-288-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324222600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IA",
            "identifier": "08865",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "1B261PS",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yen Khe Dinh Nguyen
• VI Nguyentran, DNP, ACNPC-AG
• Karis Ni, PT
• Mingwei Ni, M.D., PHD
• Talha Niaz, MBBS
• Barbara A Nichols, LP, SLP
• Deanna Denise Nichols
• Douglas A Nichols, M.D.
• Francis C Nichols III, M.D.
• Kiersten Jackson Nichols, APRN

• Oral and Maxillofacial Surgery (Dentist) in Rochester, MN
• Providers in Rochester, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.