DR. NICHOLAS H. PSIMOS


Address: 1101 N Broadway, Rochester, MN 55906-6841
Phone: 5072880126

DR. NICHOLAS H. PSIMOS (NPI# 1083681928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083681928
Entity Type Individual
Full Name DR. NICHOLAS H. PSIMOS
Credential D.D.S, PLC
Practice Address 1101 N Broadway
Rochester
MN 55906-6841
Practice Telephone 5072880126
Practice Fax Number 5075290810
Mailing Telephone 5072880126
Mailing Fax Number 5075290810
Enumeration Date 2006-02-28
Last Update Date 2011-04-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D10595 MN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0088575 05
MN 324222600 05
MN BCBS PROVIDER ID 1B261PS 01

Office Location

Street Address 1101 N BROADWAY
City ROCHESTER
State MN
Zip Code 55906-6841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770533531 Nicholas H. Psimos, Dds, Plc Dentist 1101 N Broadway, Rochester, MN 55906-6841 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912472440 Carole Ellen Jenson Nurse Practitioner Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 2018-10-11
1760853980 Sebandy Home Care Services, LLC Health Maintenance Organization 2548 Lisa Ln Ne, Rochester, MN 55906 2015-10-14
1538550611 Rachel Eldersveld Nurse Practitioner 716 12th Ave Ne, Rochester, MN 55906 2015-02-11
1639590045 Riverstone Psychological Services Community/Behavioral Health 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 2014-01-02
1396177457 Marjorie Evelyn Murray Custodial Care Facility 4501-22nd Ave N.e., Rochester, MN 55906 2013-07-31
1447532411 Peter M Holm Dentist 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 2011-09-15
1154615193 Amy Johnson Tremain Psychologist 3228 6th Ave Ne Unit B, Rochester, MN 55906 2011-06-07
1235451816 Connie Krueger Dental Hygienist 120 North Broadway, Ne, Suite B, Rochester, MN 55906 2010-02-23
1700115508 Smn Home Care, LLC Home Health 1700 N. Broadway, Suite 114, Rochester, MN 55906 2009-12-08
1528395068 Ryley D Layden Chiropractor 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 2009-11-04
Find all providers in zip 55906

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477991677 Pooja Gangwani Dentist 2400 S Clinton Ave Ste 125, Rochester, NY 14618-2668 2013-06-10
1003137381 Marc G. Johnson Dentist 150 Lynnwood Dr, Rochester, NY 14618-2826 2010-06-21
1427217199 John S. Vorrasi Dentist 2400 S Clinton Ave Bldg H Suite 125, Rochester, NY 14618 2008-06-06
1992842793 Antonia Kolokythas Dentist 601 Elmwood Ave Box 705, Rochester, NY 14642-0001 2007-01-31
1619022449 Jolly M Caplash Dentist 10 Hagen Dr Ste 230, Rochester, NY 14625-2659 2007-01-24
1649215328 Joel C Michelson Dentist 3632 10th Ln Nw, Rochester, MN 55901-6917 2006-06-18
1962482562 Michael Kim Ban Dentist 450 Adams St, Rochester, PA 15074-1911 2006-01-19
1992794218 Lee Cain Chewning Dentist 191 S Park St, Rochester, PA 15074-2217 2005-10-19
1033731815 Shayla Camille Steeds Dentist 200 1st St Sw, Rochester, MN 55905-0001 2020-05-14
1629606199 Kelly Suralik Dentist 200 1st St Sw, Rochester, MN 55905-0002 2020-03-31
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 55906

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Dataset Information

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.

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