Mark a. Nichols, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

272061 Issued in UT

Legal business name

MARK A. NICHOLS, D.D.S.

Practice address

450 39TH St
Ogden, UT 84403-1838

Phone

(801) 621-4421

Fax

(801) 392-7467

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mark A. Nichols, D.D.S.

Title

Dentist

Phone

(801) 621-4421

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David K. Wayment, D.D.S.

  • General Practice Dentistry
  • Ogden, UT
  • NPI 1487673117
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851312037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 39TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031838",
            "telephone_number": "801-621-4421",
            "fax_number": "801-392-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 39TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031838",
            "telephone_number": "801-621-4421",
            "fax_number": "801-392-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. NICHOLS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-621-4421",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "272061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jeanine Mansius
• Natalie Mar, M.D.
• Tania Marambio
• Douglas Riley Bert Marberger, D,D.S.
• Marigold Mental Health
• Mark Jolley, P.C.
• Mark S. Naisbitt, MD, PC
• Kenneth Brighton Mark, CFA, SA-C
• Jeanette Marquez, CSW
• John Brian Marriott

• General Practice Dentistry in Ogden, UT
• Providers in Ogden, UT by specialty
• General Practice Dentistry in Utah

• 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.

Verify at the official NPI Registry.