Individual provider Active NPI

Nichole Janine Mairs, D.D.S.

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1962609404
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10113 Issued in CO
Practice address
6355 Ward Rd
Suite 201
Arvada, CO 80004
Phone
(303) 420-3310
Fax
(303) 422-3599
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10113 CO Primary

Addresses

Primary practice location

6355 Ward Rd
Suite 201
Arvada, CO 80004

Mailing address

6355 Ward Rd.
Suite 201
Arvada, CO 80004
Phone (303) 420-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10113COMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mairs Family Dentistry PC PastSince May 26, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1962609404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WARD RD.",
            "address_2": "SUITE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-420-3310",
            "fax_number": "303-422-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WARD RD",
            "address_2": "SUITE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-420-3310",
            "fax_number": "303-422-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRS",
        "first_name": "NICHOLE",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.