Nicholas Cosmetic Dental Center Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038604 Issued in PA

Legal business name

NICHOLAS COSMETIC DENTAL CENTER INC

Practice address

1128 Walnut Street
5TH Floor
Philadelphia, PA 19107

Phone

(646) 241-6384

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Shireen Malik

Title

Dentist

Phone

(917) 239-9313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1992088785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 WALNUT STREET",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 WALNUT STREET",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "646-241-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS COSMETIC DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHIREEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-239-9313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Nicasio, BA
• Maria Niccum, MD, MSC
• Nice Care Dental Associates of South Philadelphia
• Nice Pharmacy
• Anna Hiatt Nicholaides, PSY.D.
• Adam Nicholas, PHARMD
• Alexander S. Nicholas, DO
• Evan A. Nicholas, DO
• Maureen Nicholas, NP
• Sidnee Nicholls

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.