NICKI L CHILDRESS-GRUBB DMD
NPI 1184741829
Dentist - General Practice in Pompton Lakes, NJ

Q: What is Nicki Childress-grubb's NPI number?

The NPI number for Nicki Childress-grubb is 1184741829. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Nicki Childress-grubb's specialty?

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

Active since March 26, 2007PECOS Enrolled

825 RINGWOOD AVE, POMPTON LAKES, NJ 07442(973) 831-8950 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicki L Childress-grubb Dmd NPPES

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

NICKI L CHILDRESS-GRUBB DMD (NPI 1184741829) is an individual general practice provider in Pompton Lakes, New Jersey, licensed in New Jersey (20477) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184741829

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameNICKI L CHILDRESS-GRUBBCredential: DMD

Location Address825 RINGWOOD AVEPompton Lakes, NJ 07442-2215

Mailing Address825 Ringwood AvePompton Lakes, NJ 07442-2215 · (973) 831-8950

Phone(973) 831-8950

Sole ProprietorNo

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184741829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 20477

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.

825 RINGWOOD AVE, Pompton Lakes, NJ 07442

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicki L Childress-grubb Dmd 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 07442 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 2

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

DR. DANIEL A. NYHUIS DMD, INC

Dentist (General Practice)

825 RINGWOOD AVE
POMPTON LAKES, NJ 07442

Passaic County (973) 831-8904

DANIEL A NYHUIS DMD

Dentist (General Practice)

825 RINGWOOD AVE
POMPTON LAKES, NJ 07442

Passaic County (973) 831-8950

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 Nicki Childress-grubb's NPI number?

The NPI number for Nicki Childress-grubb is 1184741829. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Nicki Childress-grubb located?

Nicki Childress-grubb practices at 825 Ringwood Ave, Pompton Lakes, NJ 07442. The listed phone number is (973) 831-8950.

What is Nicki Childress-grubb's specialty?

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

Is Nicki Childress-grubb enrolled in Medicare?

Yes. Nicki Childress-grubb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicki Childress-grubb 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.