DR. TIM P NICOLINO D.D.S.
NPI 1104907385
Dentist - General Practice in Des Moines, IA

Q: What is Tim Nicolino's NPI number?

The NPI number for Tim Nicolino is 1104907385. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Tim Nicolino's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tim Nicolino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 17, 2006

1004 E PARK AVE, DES MOINES, IA 50315(515) 244-7428(515) 244-2437 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tim P Nicolino D.d.s. NPPES

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

DR. TIM P NICOLINO D.D.S. (NPI 1104907385) is an individual general practice provider in Des Moines, Iowa, licensed in Iowa (6914) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104907385

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIM P NICOLINOCredential: D.D.S.

Location Address1004 E PARK AVEDes Moines, IA 50315-2451

Mailing Address1004 E. Park AveDes Moines, IA 50315 · (515) 244-7428 · Fax (515) 244-2437

Phone(515) 244-7428

Fax(515) 244-2437

Sole ProprietorYes

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104907385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · 6914

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1004 E PARK AVE, Des Moines, IA 50315

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Tim Nicolino's NPI number?

The NPI number for Tim Nicolino is 1104907385. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Tim Nicolino located?

Tim Nicolino practices at 1004 E Park Ave, Des Moines, IA 50315. The listed phone number is (515) 244-7428.

What is Tim Nicolino's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tim Nicolino accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tim Nicolino 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 Tim Nicolino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.