EMILY H NIETO DMD, MPH
NPI 1033527155
Dentist in Flagstaff, AZ

Q: What is Emily Nieto's NPI number?

The NPI number for Emily Nieto is 1033527155. It was assigned to this individual provider in the NPPES registry on August 1, 2014. The provider is also known as Emily Harry.

Q: What is Emily Nieto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Nieto was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 01, 2014PECOS Enrolled

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9405(928) 522-9537 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2026, Mar 4, 2026, Nov 18, 2017 and 1 more (4 updates tracked since 2017).

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About Emily H Nieto Dmd, Mph NPPES

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

EMILY H NIETO DMD, MPH (NPI 1033527155) is an individual dentist in Flagstaff, Arizona, licensed in Arizona (D011710) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1033527155

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameEMILY H NIETOCredential: DMD, MPH

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560

Phone(928) 522-9405

Fax(928) 522-9537

Sole ProprietorNo

Enumeration DateAugust 1, 2014

Last NPPES UpdateApril 22, 20264 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1033527155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D011710

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4122 (NM)

2920 N 4TH ST, Flagstaff, AZ 86004

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Other Names 1

Former Name (1)Emily Harry

Secondary Practice Location 1

Location 11024 N San Francisco St Ste 101Flagstaff, AZ 86001-3266 · Phone (928) 779-0395

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily H Nieto Dmd, Mph 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.

Medicare Billing Reassignments

Medicare enrollment records show Emily Nieto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs,phs,naihs,gallup Indian Medical Center

164 mi

Skilled Nursing Facility

224 NIZHONI BLVD
Gallup, NM 87301

Reassigned Medicare billing, Texas enrollment
618 clinicians in this Medicare group

NPI 1215106935 (505) 722-1000

El Rio Santa Cruz Neighborhood Health Center, Inc

208 mi

Federally Qualified Health Center (FQHC)

3655 E GRANT RD
Tucson, AZ 85716

Reassigned Medicare billing, Arizona enrollment
464 clinicians in this Medicare group

NPI 1477204485 (520) 670-3090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

DUNYA COPE LPC

Counselor (Professional)