Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396217998 Individual Practitioner Female Practitioner

Melissa Nickeson , RDA

Dental Assistant • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Melissa Nickeson, RDA is a registered healthcare professional specializing in Dental Assistant in Clovis, CA. Practice services are available at 1900 SHAW AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Shaw Ave Ste 101

Clovis, CA 936114209

Telephone 5594395300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Clovis, CA (984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Marie James , RDA

Dental Assistant

NPI 1972064079

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2018

Registered at 1900 SHAW AVE STE 101, CLOVIS, CA 936114209 (Tel: 5594395300)

📍
Updated Business Mailing Address December 19, 2018

Registered at 1900 SHAW AVE STE 101, CLOVIS, CA 936114209 (Tel: 5594395300)

👤
Provider Name / Credentials Updated December 19, 2018

Recorded as MELISSA NICKESON, RDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Dental Assistant

🟢
Initial NPI Registration & Enumeration December 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396217998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2018
Last Update: December 19, 2018
Sole Proprietor: Yes

Mailing Address

1900 Shaw Ave Ste 101

Clovis, CA 936114209

Phone: 5594395300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.