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NICKLAUS CLIFFORD D.D.S.
NPI 1013322312
Dentist in Shawnee, OK

Active since June 25, 2014PECOS Enrolled
2510 E INDEPENDENCE ST STE 600, SHAWNEE, OK 74804(405) 273-2002(405) 273-0087 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicklaus Clifford D.d.s. NPPES

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

NICKLAUS CLIFFORD D.D.S. (NPI 1013322312) is an individual dentist in Shawnee, Oklahoma, licensed in Oklahoma (6632) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013322312
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameNICKLAUS CLIFFORDCredential: D.D.S.
Location Address2510 E INDEPENDENCE ST STE 600Shawnee, OK 74804-1839
Mailing Address2510 E Independence St Ste 600Shawnee, OK 74804-1839 · (405) 273-2002 · Fax (405) 273-0087
Phone(405) 273-2002
Fax(405) 273-0087
Sole ProprietorNo
Enumeration DateJune 25, 2014
✔ NPI 1013322312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 6632
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.
2510 E INDEPENDENCE ST STE 600, Shawnee, OK 74804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicklaus Clifford D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

IMPRESSIONS DENTAL
Dentist (General Practice)
2510 E INDEPENDENCE ST STE 600
SHAWNEE, OK 74804
Pottawatomie County (405) 273-2002
ROBERTSON DENTAL GROUP PLLC
Dentist (General Practice)
2510 E INDEPENDENCE ST STE 600
SHAWNEE, OK 74804
Pottawatomie County (405) 273-2002
DR. COLIN JAMES ROBERTSON DDS
Dentist (General Practice)
2510 E INDEPENDENCE ST STE 600
SHAWNEE, OK 74804
Pottawatomie County (405) 273-2002

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 Nicklaus Clifford's NPI number?

The NPI number for Nicklaus Clifford is 1013322312. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Nicklaus Clifford located?

Nicklaus Clifford practices at 2510 E Independence St Ste 600, Shawnee, OK 74804. The listed phone number is (405) 273-2002.

What is Nicklaus Clifford's specialty?

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

Is Nicklaus Clifford enrolled in Medicare?

Yes. Nicklaus Clifford is registered in the Medicare PECOS enrollment system.

What insurance does Nicklaus Clifford accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Guardian list Nicklaus Clifford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicklaus Clifford was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.