Nicholas Adam Medel, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24965 Issued in TX

Practice address

307 E Clinton Ave
Athens, TX 75751-3405

Phone

(903) 292-5115

NPI assigned

Jul 10, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: nmedel355899@ahs.direct-ci.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.

• Medel Practice Management

  • Oral and Maxillofacial Surgery (Dentist)
  • Corsicana, TX
  • NPI 1407324288

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Nicholas a Medel DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Athens, TX
  • NPI 1538535331

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1962631929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513405",
            "telephone_number": "903-292-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEL",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A McBride, PHD
• Francine F McCain, M.D.
• Kimberly McCoy, WHCNP
• Julie Kay McIntyre, LPC
• Tammy Renee McKibbin, LPC-A
• Donald Joaseph Meyers, RPH
• MHP Partnership, LTD
• Paul J Michiels, M.D.
• Brandon Heath Milstead, C.R.N.A.
• Rebecca Lynne Moehlenbrock, PTA

• All providers in Athens, TX
• Oral and Maxillofacial Surgery (Dentist) in Texas

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