Pamela Adrienne Nicoara, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00010770 Issued in WA

Practice address

3125 Colby Ave
Suite H
Everett, WA 98201-4032

Phone

(425) 374-5380

Fax

(425) 374-5382

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pamela a Nicoara DDS MSD PLLC

  • Periodontics
  • Everett, WA
  • NPI 1366624629
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1962614719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE H",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "425-374-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE",
            "address_2": "SUITE H",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "425-374-5380",
            "fax_number": "425-374-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOARA",
        "first_name": "PAMELA",
        "middle_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00010770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Nicholson
• Erica Nicholson, LMT
• Vanessa Nicholson, M. D.
• Douglas Nickels
• Katie Nickol-Murphy, LMHCA
• Christina M. Nicolici, M.S., CCC-SLP
• Laurent Nicolov
• Shirley Nie
• Anna Grace Nielsen
• Robin Kay Nielsen

• Periodontics in Everett, WA
• Providers in Everett, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.