NICHOLAS A. FREDERICKA D.M.D. INC. (NPI# 1013136746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013136746 |
| Entity Type | Organization |
| Organization Name | NICHOLAS A. FREDERICKA D.M.D. INC. |
| Practice Address |
822 Robbins Ave Niles OH 44446-2432 |
| Practice Telephone | 3306526500 |
| Practice Fax Number | 3306526550 |
| Mailing Telephone | 3306526500 |
| Mailing Fax Number | 3306526550 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NICHOLAS ANTHONY FREDERICKA (PRESIDENT) |
| Authorized Official Telephone | 3306526500 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30016140 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED CONCORDIA INS. ID# | 196764 | 01 |
| OH | 0493729 | 05 |
| Street Address |
822 ROBBINS AVE |
| City | NILES |
| State | OH |
| Zip Code | 44446-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
| 1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
| 1316476690 | Travon Joshua Allen | Respite Care | 124 Summit Ave, Niles, OH 44446 | 2017-06-08 |
| 1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
| 1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
| 1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
| 1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
| 1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
| Find all providers in zip 44446 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871254 | Madison Rae Mick | Dentist | 24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 | 2019-06-27 |
| 1770946378 | Malgorzata Pienkowska | Dentist | 8107 N. Milwaukee, Niles, IL 60714-2803 | 2016-03-31 |
| 1053729467 | Mary Grace Kim | Dentist | 8321 W Golf Rd, Niles, IL 60714-1113 | 2014-07-29 |
| 1093089690 | Nwdg Niles LLC | Dentist | 7886 N Milwaukee Ave, Niles, IL 60714-3145 | 2012-02-28 |
| 1649589151 | Kala Sagar Madugula Dmd Inc | Dentist | 5700 Youngstown Warren Rd, Unit 107, Niles, OH 44446-4762 | 2010-09-30 |
| 1366690067 | Mia Myoungah Seo | Dentist | 876 Civic Center Dr, Niles, IL 60714-3207 | 2008-09-05 |
| 1275796591 | Ronald Patrick Giometti | Dentist | 6954 W Touhy Ave, Suite 201, Niles, IL 60714-4547 | 2008-07-07 |
| 1972777399 | Hyeokjin Son | Dentist | 1111 Lambert St, Niles, MI 49120-3439 | 2008-04-16 |
| 1659560464 | Dr John D Mcmahon Ltd | Dentist | 8100 Oakton St, Niles, IL 60714 | 2007-10-17 |
| 1033315023 | Tejas N Joshi | Dentist | 7763 N Nordica Ave, Niles, IL 60714-3311 | 2007-06-26 |
| Find all providers in NILES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.