DR. NICHOLE BARTON TOMBLIN
NPI 1114385044
Dentist in Mattawa, WA

Q: What is Nichole Barton Tomblin's NPI number?

The NPI number for Nichole Barton Tomblin is 1114385044. It was assigned to this individual provider in the NPPES registry on February 6, 2016.

Q: What is Nichole Barton Tomblin's specialty?

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

Active since February 06, 2016PECOS Enrolled

210 GOVERNMENT RD, MATTAWA, WA 99349(509) 932-4499(099) 325-3635 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Feb 18, 2020, Jan 6, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Nichole Barton Tomblin NPPES

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

DR. NICHOLE BARTON TOMBLIN (NPI 1114385044) is an individual dentist in Mattawa, Washington, licensed in Washington (DE60708382) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114385044

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. NICHOLE BARTON TOMBLIN

Location Address210 GOVERNMENT RDMattawa, WA 99349-5116

Mailing Address210 Government RdMattawa, WA 99349-5116 · (509) 932-4499 · Fax (099) 325-3635

Phone(509) 932-4499

Fax(099) 325-3635

Sole ProprietorYes

Enumeration DateFebruary 6, 2016

Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1114385044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60708382

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.

210 GOVERNMENT RD, Mattawa, WA 99349

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Other Identifiers 1

Medicaid2072503WA

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 Montana 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)

Dr. Nichole Barton Tomblin 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 99349 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 11

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

GRANT COUNTY PUBLIC HOSPITAL DISTRICT 5

Pharmacy (Community/Retail Pharmacy)