Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821077900 Individual Practitioner Male Practitioner

Dr. John Thomas Nichols , DMD

Dentist • Deerfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Nichols, DMD is a registered healthcare professional specializing in Dentist in Deerfield, IL. Practice services are available at 775 WAUKEGAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

775 Waukegan Rd
Suite 200

Deerfield, IL 600154342

Telephone 8003170711
Fax 8004347113
Associated Practice Facility / Clinic
🏢 Ej Vision, Inc. Facility NPI 1255589222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Deerfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Deerfield, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12009437A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200512620 (IN)

Practice Associates & Co-Workers

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

21 Associated Practitioners
NPI 1013967181

Doctor of Optometry

NPI 1043319916

Doctor of Podiatric Medicine

Dr. Ayman Ali , DMD

Dentist - General Practice

NPI 1053461210

Doctor of Dental Medicine

NPI 1124007455

CCCA

NPI 1245215318

Doctor of Podiatric Medicine

NPI 1295952406

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2008

Registered at 775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 600154342 (Tel: 8003170711)

📍
Updated Business Mailing Address May 09, 2008

Registered at 403 CHERRYWOOD RD, LOUISVILLE, KY 402072101 (Tel: 5028977422)

👤
Provider Name / Credentials Updated May 09, 2008

Recorded as JOHN NICHOLS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Dentist (License #12009437A in IN)

🟢
Initial NPI Registration & Enumeration January 17, 2006

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: 1821077900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: May 09, 2008
Sole Proprietor: Yes

Mailing Address

403 Cherrywood Rd

Louisville, KY 402072101

Phone: 5028977422

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.