Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316591738 Individual Practitioner Male Practitioner

Dr. Kyle Nicholson , DDS

Dentist - General Practice • Ottumwa, IA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Nicholson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ottumwa, IA. Practice services are available at 201 S MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 S Market St

Ottumwa, IA 525012924

Telephone 6416835773
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ottumwa, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Ottumwa, IA (1303 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 09669

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
NPI 1053339218

Doctor of Dental Surgery

Lacey Brooks , LISW

Social Worker - Clinical

NPI 1174166342

Licensed Independent Social Worker

Richard Davenport , LMHC, LMSW

Counselor - Mental Health

NPI 1205276821

Licensed Mental Health Counselor, Licensed Master Social Worker

NPI 1225872005

Doctor of Dental Surgery

Amanda Hart , LISW

Social Worker

NPI 1275009839

Licensed Independent Social Worker

Dr. Rebecca Bowman , DNP, APRN-C, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275763047

Doctor of Nursing Practice, APRNC, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2019

Registered at 201 S MARKET ST, OTTUMWA, IA 525012924 (Tel: 6416835773)

📍
Updated Business Mailing Address July 25, 2019

Registered at PO BOX 458, OTTUMWA, IA 525010458

👤
Provider Name / Credentials Updated July 25, 2019

Recorded as KYLE NICHOLSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2019

Dentist (License #09669 in IA)

🟢
Initial NPI Registration & Enumeration July 25, 2019

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: 1316591738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2019
Last Update: July 25, 2019
Sole Proprietor: No

Mailing Address

Po Box 458

Ottumwa, IA 525010458

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.