DR. NICHOLAS RICHARD WITHEM (NPI# 1891102752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891102752 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS RICHARD WITHEM |
| Credential | DMD |
| Practice Address |
6588 E Main St Farmington NM 87402-5122 |
| Practice Telephone | 5053266800 |
| Mailing Telephone | 8057293413 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2017-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D009005 | AZ | Dental Providers |
| Street Address |
6588 E MAIN ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407960958 | James Golden Durfey | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2006-08-19 |
| 1154934818 | 6588 East Main Farmington LLC | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2020-08-24 |
| 1861047490 | Matthew Catuna | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2019-08-09 |
| 1710463799 | Christopher Ozzie Rodas | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2018-07-12 |
| 1811410129 | Michael Mckay Butler | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2017-07-18 |
| 1568892610 | Joseph Chase Heap | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2013-11-26 |
| 1639490451 | Michael Damian King | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2010-06-16 |
| 1629398425 | Jonathan Munger Dickson | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2010-06-03 |
| 1285869792 | Theron Reed Burk | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2009-05-28 |
| 1578721718 | Aaron D Rasmussen | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1043662802 | Derek Edward Owens | Dentist | 3030 E Main St Ste T1, Farmington, NM 87402-7627 | 2016-07-05 |
| 1992155568 | Jeff Blomstedt | Dentist | 1510 E 20th St, Suite B, Farmington, NM 87401-9033 | 2016-06-15 |
| 1952781346 | Jenna Palmer | Dentist | 20700 Chippendale Ave W Ste 10, Farmington, MN 55024-8206 | 2015-06-01 |
| 1942604533 | Ryan H Wilson Dds LLC | Dentist | 4760 N Butler Ave Ste D, Farmington, NM 87401-0816 | 2014-10-10 |
| 1649693284 | Farmington Family Dental Pllc | Dentist | 34405 Grand River, Farmington, MI 48335 | 2014-02-03 |
| 1558790378 | Dr David Herman's Four Corners Dental, LLC | Dentist | 3751 N Butler Ave Ste 113, Farmington, NM 87401-6425 | 2013-11-02 |
| 1235487851 | John William Loberg | Dentist | 2650 E Pinon Frontage Rd Bldg 200, Farmington, NM 87402-5084 | 2012-08-29 |
| 1265728547 | Remi Sarna | Dentist | 34505 Grand River Ave, Farmington, MI 48335-3311 | 2011-06-24 |
| 1912223058 | Manu Mohan Sachdev | Dentist | 52 N 1100 W, Farmington, UT 84025-2181 | 2010-04-14 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
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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.