DR. TIM P NICOLINO (NPI# 1104907385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104907385 |
| Entity Type | Individual |
| Full Name | DR. TIM P NICOLINO |
| Credential | D.D.S. |
| Practice Address |
1004 E Park Ave Des Moines IA 50315-2451 |
| Mailing Address |
1004 E. Park Ave Des Moines IA 50315 |
| Practice Telephone | 5152447428 |
| Practice Fax Number | 5152442437 |
| Mailing Telephone | 5152447428 |
| Mailing Fax Number | 5152442437 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6914 | IA | Dental Providers |
| Street Address |
1004 E PARK AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50315-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1245581560 | Stroke Detections Plus, Inc. | Early Intervention Provider Agency | 2407 Sw 9th Street, Des Moines, IA 50315 | 2012-09-26 |
| 1922371533 | Ronald D. Sanford | Durable Medical Equipment & Medical Supplies | 1920-s.w. Frazier, Des Moines, IA 50315 | 2012-02-13 |
| 1811155203 | Katherine M Schultz | Occupational Therapy Assistant | 4911 Sw 19th, Des Moines, IA 50315 | 2008-06-02 |
| 1255599635 | Lisa Kaye Malsom | Physical Therapist | 4911 Sw 19th Street, Des Moines, IA 50315 | 2008-06-02 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1881749893 | Emergency Dental Care Usa | Dentist | 4409 Sw 9th St, Des Moines, IA 50315 | 2007-01-23 |
| 1114947132 | Richard Alan Lyman | Dentist | 6100 Sw 9th St, Des Moines, IA 50315 | 2006-07-20 |
| 1487603684 | Eye Care of Iowa PC | Optometrist | 200 Army Post Rd, Des Moines, IA 50315 | 2006-05-08 |
| 1437115920 | Hearing Aid Centers Inc. | Hearing Aid Equipment | 1219 Sw Army Post Rd, Des Moines, IA 50315 | 2006-04-24 |
| Find all providers in zip 50315 | ||||
| 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 |
|---|---|---|---|---|
| 1164901203 | Anisha Cheruvillil | Dentist | 1200 University Ave Ste 100, Des Moines, IA 50314-2355 | 2018-08-09 |
| 1811474927 | Downtown Smiles | Dentist | 505 5th Ave Ste 939, Des Moines, IA 50309-2316 | 2018-07-20 |
| 1659801546 | Hayley Ann Faley | Dentist | 6150 Se 14th St Ste B, Des Moines, IA 50320-1719 | 2017-06-14 |
| 1174063010 | Waveland Family Dental | Dentist | 4232 University Ave, Des Moines, IA 50311-3422 | 2017-02-25 |
| 1720522360 | Cheng Shao Anwar Pllc | Dentist | 27041 Pacific Hwy S, Des Moines, WA 98198-9250 | 2016-12-16 |
| 1811367972 | Jason Sinhee Hong | Dentist | 4730 Sw 9th St, Des Moines, IA 50315-3973 | 2015-10-01 |
| 1649651795 | Laura Wilmes Brown | Dentist | 5921 Se 14th St Ste 1500, Des Moines, IA 50320-1760 | 2015-06-15 |
| 1114337276 | Walid Abdel Fatah, Dds, PC | Dentist | 3737 Merle Hay Rd, Des Moines, IA 50310-1239 | 2014-04-29 |
| 1962708743 | Poojitha Chandrasekhar | Dentist | 4930 Se 14th St, Des Moines, IA 50320-1604 | 2011-01-27 |
| 1407006752 | Paula Ann Stepp | Dentist | 22506 Marine View Dr. S Unit 101, Des Moines, WA 98198 | 2008-09-23 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50315 |
Please comment or provide details below to improve the information on DR. TIM P NICOLINO.
| 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.