DR. NICOLE MARIE SUDHOLT D.M.D.
NPI 1184915431
Dentist in Peoria, IL
About Dr. Nicole Marie Sudholt D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE MARIE SUDHOLT D.M.D. (NPI 1184915431) is an individual dentist in Peoria, Illinois, licensed in Illinois (019028323) and active in the NPI registry since April 2011. She has opted out of Medicare through March 2, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Nicole Marie Sudholt D.m.d. 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 March 2, 2016 through March 2, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nicole Sudholt's NPI number?
The NPI number for Nicole Sudholt is 1184915431. It was assigned to this individual provider in the NPPES registry on April 20, 2011.
Where is Nicole Sudholt located?
Nicole Sudholt practices at 843 W Glen Ave, Peoria, IL 61614. The listed phone number is (309) 691-9421.
What is Nicole Sudholt's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Nicole Sudholt enrolled in Medicare?
No. Nicole Sudholt has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Nicole Sudholt was last updated on April 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
