Henry D. Nichols, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12142 Issued in MI

Practice address

216 E 3Rd St
Imlay City, MI 48444-1322

Phone

(810) 724-8080

Fax

(810) 724-3309

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imlay City Dental, P.L.L.C.

  • General Practice Dentistry
  • Imlay City, MI
  • NPI 1740233915
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982773057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CEDAR DR",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484448961",
            "telephone_number": "810-724-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 3RD ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441322",
            "telephone_number": "810-724-8080",
            "fax_number": "810-724-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "HENRY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller Family Chiropractic PLLC
• Gaurav Mitra
• Sadie Murray, RN
• Narayan Medtech Equipment LLC
• Jill Marie Nevorski, NP-C
• David Andrew Noffert, D.D.S.
• Charles Godfrey Norman II, D.D.S.
• Joshua George Alan Papineau, DC
• Shannon Parrott
• Denis H Patel, PT

• General Practice Dentistry in Imlay City, MI
• Providers in Imlay City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.