DR. DENNIS BART NICKS


Address: 2305 Canterwood Dr, Wilmington, NC 28401-7300
Phone: 9103430119

DR. DENNIS BART NICKS (NPI# 1598767535) 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) 1598767535
Entity Type Individual
Full Name DR. DENNIS BART NICKS
Credential M.D.
Practice Address 2305 Canterwood Dr
Wilmington
NC 28401-7300
Practice Telephone 9103430119
Practice Fax Number 9103438983
Mailing Telephone 9103430119
Mailing Fax Number 9103438983
Enumeration Date 2005-08-10
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
26138 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 2305 CANTERWOOD DR
City WILMINGTON
State NC
Zip Code 28401-7300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689676611 Charles Richard Kays Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2005-08-10
1871823153 Michelle Romano Foreman Nurse Anesthetist, Certified Registered 2305 Canterwood Dr, Wilmington, NC 28401-7300 2010-01-08
1235195389 Wilmington Plastic Surgery Specialists, P.a. Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2006-04-25
1275535072 Mark Wayne Morgan Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2005-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043356868 Tor Martin Ljung Surgery 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 2007-01-29
1689676611 Charles Richard Kays Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2005-08-10
1609877836 Kenneth Samuel White Surgery 1404 Commonwealth Dr, Wilmington, NC 28403-1473 2005-08-10
1568463131 Jeffrey Scott Church Surgery 1122 Medical Center Dr, Wilmington, NC 28401-7305 2005-08-09
1487650867 Benjamin Cooper Surgery 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 2005-06-22
1922591320 Gillespie Plastic & Reconstructive Surgery Surgery 4001 Kennett Pike Ste 234, Wilmington, DE 19807 2018-06-11
1235195389 Wilmington Plastic Surgery Specialists, P.a. Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2006-04-25
1275535072 Mark Wayne Morgan Surgery 2305 Canterwood Dr, Wilmington, NC 28401-7300 2005-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447813753 Kds Aesthetics, Pllc Surgery 2806b Wooten Blvd., Wilson, NC 27893-8624 2019-04-22
1124681689 Cami Surgery Center, Pllc Surgery 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 2019-04-19
1154777936 Shuting Zhong Surgery 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 2016-05-10
1205216173 Henry Neale Sr. Surgery 117 Shenandoah Terrace, Montreat, NC 28757 2015-06-04
1689940603 Asheville Aesthetic Plastic Surgery Surgery 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 2012-03-23
1245428358 Jeyhan S Wood Surgery 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 2007-10-15
1255528477 Rutherford Hospital, Inc. Surgery 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 2007-10-02
1215144670 David Hardman Harley Surgery 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 2007-05-16
1669538971 Southland Plastic Surgery Surgery 501 North Aspen St, Lincolnton, NC 28092-2105 2006-12-29
1396829271 Michael Zenn Surgery 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 2006-10-25
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Competitor

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City WILMINGTON
Zip Code 28401

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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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