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NICHOLAS C DAVIS D.D.S.
NPI 1003155086
Dentist in Newport Beach, CA

Active since February 11, 2013Opted out of Medicare · through Feb 11, 2027
2503 EASTBLUFF DR, SUITE 102, NEWPORT BEACH, CA 92660(949) 644-9211 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas C Davis D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS C DAVIS D.D.S. (NPI 1003155086) is an individual dentist in Newport Beach, California, licensed in California (23781) and active in the NPI registry since February 2013. He has opted out of Medicare through February 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003155086
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameNICHOLAS C DAVISCredential: D.D.S.
Location Address2503 EASTBLUFF DR, SUITE 102Newport Beach, CA 92660-3505
Mailing Address2503 Eastbluff Dr, Suite #102Newport Beach, CA 92660-3505 · (949) 644-9211
Phone(949) 644-9211
Sole ProprietorYes
Enumeration DateFebruary 11, 2013
✔ NPI 1003155086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 23781
Definition
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.
2503 EASTBLUFF DR, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicholas C Davis D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2017 through February 11, 2027.

Opt-Out Effective DateFebruary 11, 2017
Opt-Out In Effect ThroughFebruary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS C. DAVIS, D.D.S., APC
Dentist (General Practice)
2503 EASTBLUFF DR, SUITE 102
NEWPORT BEACH, CA 92660
Orange County (949) 644-9211
DR. BASIL GORDON D.D.S.
Dentist (General Practice)
2503 EASTBLUFF DR, SUITE 104
NEWPORT BEACH, CA 92660
Orange County (949) 640-7922
KOICHI SUZUKI KIM D.C.
Chiropractor
2503 EASTBLUFF DR, 103
NEWPORT BEACH, CA 92660
Orange County (949) 640-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Davis's NPI number?

The NPI number for Nicholas Davis is 1003155086. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Where is Nicholas Davis located?

Nicholas Davis practices at 2503 Eastbluff Dr Suite 102, Newport Beach, CA 92660. The listed phone number is (949) 644-9211.

What is Nicholas Davis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicholas Davis enrolled in Medicare?

No. Nicholas Davis has opted out of Medicare through February 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicholas Davis was last updated on February 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.