Les Edward Nicholson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2331 Issued in WV

Practice address

2220 Cheat Rd
Morgantown, WV 26508-4453

Phone

(304) 594-1499

Fax

(304) 594-0150

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Les E. Nicholson D.D.S. Inc.

  • Dentist
  • Morgantown, WV
  • NPI 1457397432
  NPD (past) Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1902849094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084453",
            "telephone_number": "304-594-1499",
            "fax_number": "304-594-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084453",
            "telephone_number": "304-594-1499",
            "fax_number": "304-594-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "LES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136227000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atif Niaz, MD
• Zachary E Nibert, PHARMD
• Eli Jacob Nice, PT, DPT
• Jordan Nicholls, PHARMD
• Heather Nicholson
• Teri Nicholson, FNP
• Abigail Nickerson
• Hannah Nicklow
• Meloney Joann Nicklow
• Kara Nickolich

• General Practice Dentistry in Morgantown, WV
• Providers in Morgantown, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.