Deactivated NPI 1518192913 Deactivated / Inactive NPI Male Practitioner

Dr. Pete N Nickolas , DDS

Dentist - General Practice • Westminster, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Pete Nickolas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2009

NPI Deactivation Date October 05, 2017

Total Practice Duration ~8 Years of Practice (2009 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Pete Nickolas, DDS was a registered Dentist - General Practice practicing in Westminster, MD. Throughout an active medical career spanning 8 years, Dr. Nickolas provided care at the practice location at 114 E MAIN ST until profile deactivation on 2017-10-05.

Practice Location & Contact Primary Location

Practice Address

114 E Main St

Westminster, MD 211575147

Telephone 4108489540

Associated Practice Facility / Clinic

🏢 Drs Meyers And Nickolas Llc Facility NPI 1851464697

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Westminster, MD

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

25 Specialists

Practicing in Westminster, MD (2555 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 MD 5922

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.

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated October 05, 2017

Record deactivated on October 05, 2017

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NPI Profile Active May 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 28, 2009

Registered at 114 E MAIN ST, WESTMINSTER, MD 211575147 (Tel: 4108489540)

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Updated Business Mailing Address May 28, 2009

Registered at 114 E MAIN ST, WESTMINSTER, MD 211575147 (Tel: 4108489540)

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Provider Name / Credentials Updated May 28, 2009

Recorded as PETE NICKOLAS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2009

Dentist (License #5922 in MD)

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Initial NPI Registration & Enumeration May 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1518192913

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 28, 2009

Last Update: May 28, 2009

Deactivation Date: October 05, 2017

Update or Correct Profile

Mailing Address

114 E Main St

Westminster, MD 211575147

Phone: 4108489540

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.