Thomas John Nick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

811G Issued in WI

Practice address

630 1St St
Wausau, WI 54403-4851

Phone

(715) 842-0314

Fax

(715) 842-5565

NPI assigned

Jun 22, 2005

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

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912903303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034851",
            "telephone_number": "715-842-0314",
            "fax_number": "715-842-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034851",
            "telephone_number": "715-842-0314",
            "fax_number": "715-842-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICK",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "811G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33543300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Neuner, DPT
• New Insights Counseling
• Kristi A Newton, RN
• Lina Nguyen, DDS
• Steven D Nichols, MD
• Merriah Niedfeldt
• Joshua Nielsen, OTR
• Pamela Jean Nielsen, R.D.H.
• Sarah S Nielsen, DO
• Sydney Nielsen

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.