TIMOTHY D NICHOLS


Address: 12606 Greenville Ave, Suite 160, Dallas, TX 75243-1921
Phone: 4693647880

TIMOTHY D NICHOLS (NPI# 1093752073) 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) 1093752073
Entity Type Individual
Full Name TIMOTHY D NICHOLS
Credential MD
Practice Address 12606 Greenville Ave
Suite 160
Dallas
TX 75243-1921
Mailing Address Po Box 797885
Dallas
TX 75379-7885
Practice Telephone 4693647880
Practice Fax Number 4693647895
Mailing Telephone 9406260059
Mailing Fax Number 9406272289
Enumeration Date 2006-05-31
Last Update Date 2013-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist J1744 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 126533203 05
TX RAILROAD MEDICARE 920003991 01

Other Providers TIMOTHY NICHOLS

NPI Name Taxonomy Address Enumeration
1477045433 Timothy Nichols Counselor 2337 Woods Dr, Saint Albans, WV 25177-8821 2018-06-05
1467611517 Timothy Daniel Nichols Dentist 4383 Tennyson St, 1f, Denver, CO 80212-2363 2008-06-04
1508845256 Timothy C Nichols Optometrist 418 Martling Rd, Albertville, AL 35951-7208 2006-01-11
1205496437 Timothy James Nichols Occupational Therapist 851 Professional Park Dr, Clarksville, TN 37040-5257 2019-06-19
1083159727 Timothy James Nichols Physical Therapy Assistant 1923 S Utica Ave, Tulsa, OK 74104-6520 2017-01-05
1770734170 Timothy Nichols Pharmacist 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 2008-10-03
1265690762 Timothy W Nichols Pharmacist 847 Taylorsville Rd, Taylorsville, KY 40071-9771 2008-05-30
1750441358 Timothy C Nichols Internal Medicine 101 Manning Dr, Chapel Hill, NC 27599-0001 2006-12-12
1730269267 Timothy J Nichols Dentist Hc 63 Box 3560, Romney, WV 26757-9722 2006-10-17
1720080229 Timothy P Nichols Emergency Medicine 615 N Bonita Ave, Panama City, FL 32401-3623 2005-08-15

Office Location

Street Address 12606 GREENVILLE AVE
SUITE 160
City DALLAS
State TX
Zip Code 75243-1921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265439939 Clearsky Mri & Diagnostic Imaging Center of N. Dallas Clinic/Center 12606 Greenville Ave, Suite 110, Dallas, TX 75243-1921 2005-07-07
1346874872 Integrated First Surgical Assist Surgery 12606 Greenville Ave, Dallas, TX 75243-1921 2020-02-24
1164922365 Shrive Headache and Pain Consultants Anesthesiology 12606 Greenville Ave, Dallas, TX 75243-1921 2018-02-15
1164937272 Mercy Ambulatory Surgery Center of Dallas Clinic/Center 12606 Greenville Ave, Dallas, TX 75243-1921 2017-12-12
1154861706 Therapy Ots, LLC Clinic/Center 12606 Greenville Ave, Suite 205, Dallas, TX 75243-1921 2017-03-01
1932555133 Dallas Pediatrics&children's Healthcare, P.a. Clinic/Center 12606 Greenville Ave, Dallas, TX 75243-1921 2016-05-06
1780952267 Rosa of North Dallas LLC Radiology 12606 Greenville Ave, Suite 160, Dallas, TX 75243-1921 2011-12-12
1215204359 Vivere-dallas Fertility Laboratory LLC Clinical Medical Laboratory 12606 Greenville Ave, Suite 190, Dallas, TX 75243-1921 2011-11-17
1376776187 Timothy D Nichols, M.d.p.a. Specialist 12606 Greenville Ave, Suite 160, Dallas, TX 75243-1921 2009-08-26
1083856900 D.c./l.d. Inc Chiropractor 12606 Greenville Ave, Suite 205, Dallas, TX 75243-1921 2009-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1295221786 Cornerstonemd,pllc Obstetrics & Gynecology 12222 N Central Expy Ste 140, Dallas, TX 75243 2018-07-08
1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
1194273664 Osman W Awdallah Non-emergency Medical Transport (VAN) 12611 Hornbeam Drive, Dallas, TX 75243 2016-09-14
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275172827 Tina Mone Patterson Specialist 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 2019-12-31
1225670862 Camerin J Cole Specialist 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 2019-10-15
1356833198 Diana Denise Demasi Specialist 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 2018-06-06
1942718242 Kristy Prieto Specialist 18809 Lina St Apt 10209, Dallas, TX 75287-2519 2018-01-21
1306354600 Johnneshia Donald Specialist 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 2018-01-21
1841740404 Surgical Associates of Dallas Specialist 621 N Hall St Ste 520, Dallas, TX 75226-1315 2016-10-07
1194198101 Surepoint Emergency Physicians Denton, Pllc Specialist 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 2015-11-12
1316329071 Southern Spine Institute Pllc Specialist 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 2015-06-18
1760886345 Wls Surgical Associates of North Texas Pllc Specialist 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 2014-10-10
1952731804 Aw Sleep Diagnostic Center Inc Specialist 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 2013-11-13
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Competitor

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City DALLAS
Zip Code 75243

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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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