KATELYN NICHOLS
NPI 1073997086
Dentist in Salem, OR

Active since July 20, 2015PECOS Enrolled
1880 LANCASTER DR NE STE 121, SALEM, OR 97305(971) 600-3498 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelyn Nichols NPPES

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

KATELYN NICHOLS (NPI 1073997086) is an individual dentist in Salem, Oregon, licensed in Oregon (D10277) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073997086
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATELYN NICHOLS
Location Address1880 LANCASTER DR NE STE 121Salem, OR 97305-1069
Mailing Address1880 Lancaster Dr Ne Ste 121Salem, OR 97305-1069 · (971) 600-3498
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1073997086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D10277
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 · Dental Public HealthTaxonomy 1223D0001X · License D10277 (OR)
1880 LANCASTER DR NE STE 121, Salem, OR 97305

Accepted 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)

Katelyn Nichols 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 97305 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 6

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

Dentist (General Practice)
1880 LANCASTER DR NE STE 121
SALEM, OR 97305
Dentist (General Practice)
1880 LANCASTER DR NE STE 121
SALEM, OR 97305
Dentist
1880 LANCASTER DR NE STE 121
SALEM, OR 97305
Dentist (General Practice)
1880 LANCASTER DR NE STE 121
SALEM, OR 97305
Dentist (General Practice)
1880 LANCASTER DR NE STE 121
SALEM, OR 97305
Dentist (General Practice)
1880 LANCASTER DR NE STE 121
SALEM, OR 97305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073997086, enumerated as an "individual" on July 20, 2015.

The provider is located at 1880 LANCASTER DR NE STE 121 SALEM, OR 97305 and the phone number is (971) 600-3498.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.