NICOLE THIELER (NPI# 1417356684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417356684 |
| Entity Type | Individual |
| Full Name | NICOLE THIELER |
| Other Name | NICOLE ELIZABETH THIELER |
| Credential | D.D.S. |
| Practice Address |
206 Mystic Blvd Houma LA 70360-2762 |
| Practice Telephone | 9858764484 |
| Practice Fax Number | 9858764498 |
| Mailing Telephone | 9858764484 |
| Mailing Fax Number | 9858764498 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2015-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6289 | LA | Dental Providers |
| Street Address |
206 MYSTIC BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578654802 | Michael G. Engeron | Dentist | 206 Mystic Blvd, Houma, LA 70360-2762 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229720 | Hannah Knott | Dentist | 1301 W Tunnel Blvd Ste B, Houma, LA 70360-2600 | 2020-06-08 |
| 1922562438 | Coastal Orthodontics, LLC | Dentist | 635 Enterprise Drive, Houma, LA 70360-7036 | 2019-01-29 |
| 1851530315 | Albert Philip Ellender | Dentist | 102 Ramey Rd, Houma, LA 70360-4056 | 2009-02-06 |
| 1386793594 | Louisiana Orthodontic Specialists | Dentist | 1301 W Tunnel Blvd, Ste. B, Houma, LA 70360-2600 | 2007-01-09 |
| 1497849905 | Catherine Ann Schwab | Dentist | 7845 Main Street, Houma, LA 70360 | 2006-10-02 |
| 1578654802 | Michael G. Engeron | Dentist | 206 Mystic Blvd, Houma, LA 70360-2762 | 2006-09-28 |
| 1285973693 | Devereux and Nguyen LLC | Dentist | 1301 W Tunnel Blvd, Suite B, Houma, LA 70360-2600 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
| 1174053243 | Kyle Michael Maldonado | Dentist | 808 C M Fagan Dr, Hammond, LA 70403 | 2017-06-12 |
| 1689108664 | Matthew Oubre | Dentist | 3600 Dumaine St, New Orleans, LA 70119-3810 | 2017-04-17 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1447794490 | Rebecca Payne | Dentist | 4010 Lonesome Rd, Mandeville, LA 70448-7085 | 2016-12-09 |
| 1780137703 | Eun Chee Lee | Dentist | 2330 Gause Blvd E Ste E, Slidell, LA 70461-4141 | 2016-07-26 |
| 1518364884 | Donovan P Soignet | Dentist | 1001-a East 7th St, Thibodaux, LA 70301 | 2014-12-02 |
| 1598184871 | Jessica Brown Ulmer | Dentist | 4429 Chastant St, Metairie, LA 70006-2053 | 2014-04-15 |
| 1588006118 | Katie Evans Moffit | Dentist | 1460 Peterman Dr, Alexandria, LA 71301 | 2013-07-24 |
| 1033550181 | John Iennusa Jr. | Dentist | 2245 11th St Ste C, Mandeville, LA 70471-6498 | 2013-07-17 |
| 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.