Steven Earl Nicholson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-028823-L Issued in PA

Practice address

14 S Cedar St
Hazleton, PA 18201-6602

Phone

(570) 455-6275

NPI assigned

Sep 24, 2006

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steven E. Nicholson, D.M.D., P.C.

  • General Practice Dentistry
  • Hazleton, PA
  • NPI 1164054565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1881794386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SAINT JOHNS RD",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221607",
            "telephone_number": "570-788-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016602",
            "telephone_number": "570-455-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "STEVEN",
        "middle_name": "EARL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-028823-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL-AMERIHEALTH MERCY",
            "identifier": "0008024",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "000000020320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ACCESS",
            "identifier": "0017194170001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "761232",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MED PLUS",
            "identifier": "85672",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine M Mullen-Marcera, M.S. CCC-SLP
• Marybeth Nash, D.M.D.
• Susan Nasrani, LCSW
• National Vision, Inc.
• David L Naugle, O.D.
• Jeilys Arelis Nieves, COTA/L
• Samantha Christine Niznik, FNP-C
• Leonard Joseph Nork Jr., D.C.
• Northeast Counseling Service
• Northeast Counseling Service

• General Practice Dentistry in Hazleton, PA
• Providers in Hazleton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.