MR. MICHAEL W NICHOLS (NPI# 1902844731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844731 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W NICHOLS |
| Credential | DDS |
| Practice Address |
116 Cumberland Ln Jacksboro TN 37757-2737 |
| Practice Telephone | 4235629459 |
| Practice Fax Number | 4235667195 |
| Mailing Telephone | 4235629459 |
| Mailing Fax Number | 4235667195 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2899 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116317 | Michael Nichols | Physical Therapist | 107 Cleveland Ave # 2, Cocoa Beach, FL 32931-4009 | 2020-08-25 |
| 1568818458 | Michael Nichols | Private Vehicle | 114 W Cheryl St, Osceola, AR 72370-2837 | 2016-05-10 |
| 1740328509 | Michael D Nichols | Chiropractor | 199 N Common St, Lynn, MA 01905-2516 | 2007-02-02 |
| 1720171101 | Michael Perry Nichols | Chiropractor | 4027 Allston St, Cincinnati, OH 45209-1761 | 2006-09-30 |
| 1255366563 | Michael G Nichols | Dentist | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1962427179 | Michael C. Nichols | Specialist | 81-948 Waena 'oihana Loop, Suite 120, Ckc Building 9, Kealakekua, HI 96750 | 2006-07-12 |
| 1437180130 | Michael Lee Nichols | Social Worker | 200 W Douglas Ave, Suite #560, Wichita, KS 67202-3013 | 2006-07-05 |
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1265900427 | Michael Nichols | Case Manager/Care Coordinator | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2018-11-06 |
| 1083126361 | Michael David Nichols | Nurse Practitioner | 1720 7th Ave S, Birmingham, AL 35233-1718 | 2017-10-26 |
| Street Address |
116 CUMBERLAND LN |
| City | JACKSBORO |
| State | TN |
| Zip Code | 37757-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
| 1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
| 1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
| 1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
| 1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
| 1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
| 1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
| 1962540880 | State of Tennessee | Public Health or Welfare | 162 Sharp Perkins Road, Jacksboro, TN 37757 | 2007-02-02 |
| 1083868517 | Med-trans Corporation | Ambulance | 588 Memorial Lane, Jacksboro, TN 37757-0000 | 2008-11-11 |
| 1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
| Find all providers in zip 37757 | ||||
| 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 |
|---|---|---|---|---|
| 1043381130 | Timothy Morris Hall | Dentist | 147 North St, Jacksboro, TN 37757-2109 | 2006-11-13 |
| 1912437344 | Timothy Joseph Hall | Dentist | 147 North St, Jacksboro, TN 37757-2109 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1467065326 | Kevin Melanio Corvacho | Dentist | 2854 N Main St Ste 102, Crossville, TN 38555-5413 | 2020-08-28 |
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1356954838 | La Vergne Dental Associates, Pllc | Dentist | 6001 Jackson Square Blvd Ste 1001, La Vergne, TN 37086-2768 | 2020-08-25 |
| 1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1942818661 | Shelby Victoria Nelson | Dentist | 1950 Downs Blvd Ste 101, Franklin, TN 37064-1561 | 2020-07-20 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.