Jay L Nichols, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

KY6679 Issued in KY

Practice address

2471 Elizabethtown Rd
Leitchfield, KY 42754-9119

Phone

(270) 259-4008

Fax

(270) 259-4009

NPI assigned

Nov 22, 2005

Last updated

Jul 8, 2007By 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

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.

• Nichols Dental Center

  • General Practice Dentistry
  • Leitchfield, KY
  • NPI 1326217639
  NPD (past) Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770566812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549119",
            "telephone_number": "270-259-4008",
            "fax_number": "270-259-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 ELIZABETHTOWN RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427549119",
            "telephone_number": "270-259-4008",
            "fax_number": "270-259-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAY",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "KY6679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Myers
• Janice Netherland, LPCC
• Jeremy Newton, PHARMD
• Next Level Family Health LLC
• Nichols Dental Center
• Melissa S Nichols, DMD
• Jamie M Niehaus, APRN
• Maggie Lynn O'Reilly, MASTERS OF ARTS
• Cindy Lynn Overby, APRN
• Owensboro Health Medical Group Inc (Owensboro Health Medical Group Nephrology - Twin Lakes)

• General Practice Dentistry in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.