Alysia Nicholson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36443 Issued in TX

Practice address

4519 De Zavala Rd
San Antonio, TX 78249-2019

Phone

(210) 690-9221

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alysia.nicholson.1@29669.direct.athenahealth.com

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.

• Diane Trinidad, DDS, PC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1346353901
  NPD (past)
• Stone Oak Modern Dentistry, PC

  dba Stone Oak Modern Dentistry

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1952602484
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1942819388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15506 INTERPLACE APT 5108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494763",
            "telephone_number": "214-284-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492019",
            "telephone_number": "210-690-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ALYSIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Alcorn Nichols
• Rachel Ann Nichols, LPC
• Robert Carroll Nichols, MD
• Shawnn D Nichols, M.D.
• Troy Nichols
• Christopher Diego Nicholson
• Ella Nicholson, SLP ASSISTANT
• Mekayla Nicholson, OTD, OTR/L
• Susannah E. Nicholson, MD
• William Dale Nicholson, LCDC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; 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.