Organization Active NPI

David P. Nichols, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Lockport, NY
National Provider Identifier
1891091336
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
132972-1 Issued in NY
Legal business name
DAVID P. NICHOLS, M.D., P.C.
Practice address
6000 Brockton Dr
Lockport, NY 14094-9273
Phone
(716) 433-1410
Fax
(716) 438-1096
NPI assigned
Feb 1, 2011
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
David NicholsNPI 1346240314
Title
President
Phone
(716) 433-1410

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)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 132972-1 NY Primary

Addresses

Primary practice location

6000 Brockton Dr
Lockport, NY 14094-9273

Mailing address

6000 Brockton Dr
Lockport, NY 14094-9273

Other identifiers 1

IdentifierTypeStateIssuer
01654631MedicaidNY

National Provider Directory

National Provider Directory

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": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1891091336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROCKTON DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949273",
            "telephone_number": "716-433-1410",
            "fax_number": "716-438-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. NICHOLS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-433-1410"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "132972-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01654631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.