Active NPI
H.a. Nicholson III
- Dentist
- Wilmington, NC
National Provider Identifier
1841495041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3209
- Legal business name
- H.A. NICHOLSON III
- Practice address
- 1631 Doctors Cir
Wilmington, NC 28401-7405 - Phone
- (910) 762-4459
- Fax
- (910) 762-4413
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howell Anderson Nicholson III
- Title
- Owner
- Phone
- (910) 762-4459
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3209 | NC | Primary |
Addresses
Primary practice location
1631 Doctors Cir
Wilmington, NC 28401-7405
Mailing address
1631 Doctors Cir
Wilmington, NC 28401-7405
Phone (910) 762-4459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89963979 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1631 Doctors Cir
Wilmington, NC 28401
Phone (910) 762-4459
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1982822219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841495041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017405",
"telephone_number": "910-762-4459",
"fax_number": "910-762-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 DOCTORS CIR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017405",
"telephone_number": "910-762-4459",
"fax_number": "910-762-4413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H.A. NICHOLSON III",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "HOWELL",
"authorized_official_middle_name": "ANDERSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-762-4459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "3209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89963979",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.