Organization Active NPI

Tim Nichols DDS Inc

  • General Practice Dentistry
  • Romney, WV
National Provider Identifier
1831348820
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TIM NICHOLS DDS INC
Practice address
HC 63 Box 3560
Romney, WV 26757-9722
Phone
(304) 822-4447
Fax
(304) 822-7943
NPI assigned
Sep 15, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Tim Nichols
Title
Owner
Phone
(304) 822-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

HC 63 Box 3560
Romney, WV 26757-9722

Mailing address

HC 63 Box 3560
Romney, WV 26757-9722
Phone (304) 822-4447

National Provider Directory

National Provider Directory

Locations

3560 HC 63
Romney, WV 26757
Phone (304) 822-3833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1831348820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3560",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267579722",
            "telephone_number": "304-822-4447",
            "fax_number": "304-822-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3560",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267579722",
            "telephone_number": "304-822-4447",
            "fax_number": "304-822-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM NICHOLS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-822-4447"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.