DR. NICHOLAS BUSBY DDS
NPI 1164097747
Dentist - Dental Public Health in Okmulgee, OK

Q: What is Nicholas Busby's NPI number?

The NPI number for Nicholas Busby is 1164097747. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Nicholas Busby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: Is Nicholas Busby enrolled in Medicare?

No. Nicholas Busby has opted out of Medicare through December 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Busby was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 25, 2021Opted out of Medicare · through Dec 2, 2027

1313 E 20TH ST, OKMULGEE, OK 74447(918) 591-5721 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nicholas Busby Dds NPPES

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

DR. NICHOLAS BUSBY DDS (NPI 1164097747) is an individual dental public health provider in Okmulgee, Oklahoma, licensed in Oklahoma (7414) and active in the NPI registry since May 2021. He has opted out of Medicare through December 2, 2027.

NPPES Registry Identity

NPI1164097747

Entity TypeIndividualMale

Primary Taxonomy1223D0001X

Provider Legal NameDR. NICHOLAS BUSBYCredential: DDS

Location Address1313 E 20TH STOkmulgee, OK 74447-6303

Mailing Address1313 E 20th StOkmulgee, OK 74447-6303

Phone(918) 591-5721

Sole ProprietorNo

Enumeration DateMay 25, 2021

NPPES CertifiedMay 25, 2021

✔ NPI 1164097747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in OK · 7414

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7414 (OK)

1313 E 20TH ST, Okmulgee, OK 74447

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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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Nicholas Busby Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 2, 2025 through December 2, 2027.

Opt-Out Effective DateDecember 2, 2025

Opt-Out In Effect ThroughDecember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ASHLEY NICHOLS

Case Manager/Care Coordinator