DR. NICHOLAS JOHN JOHNNIDIS D.M.D.
NPI 1215181284
Dentist - General Practice in Nassau County, Long Island, NY

Q: What is Nicholas Johnnidis's NPI number?

The NPI number for Nicholas Johnnidis is 1215181284. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Q: What is Nicholas Johnnidis's specialty?

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

Active since November 04, 2008PECOS Enrolled

5 WIER LANE, LOCUST VALLEY, NASSAU COUNTY, LONG ISLAND, NY 11560(516) 759-2288(516) 759-0993 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nicholas John Johnnidis D.m.d. NPPES

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

DR. NICHOLAS JOHN JOHNNIDIS D.M.D. (NPI 1215181284) is an individual general practice provider in Nassau County, Long Island, New York, licensed in New York (034240) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215181284

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. NICHOLAS JOHN JOHNNIDISCredential: D.M.D.

Location Address5 WIER LANE, LOCUST VALLEYNassau County, Long Island, NY 11560

Mailing Address5 Wier LaneLocust Valley-nassau County, NY 11560 · (516) 759-2288 · Fax (516) 759-0993

Phone(516) 759-2288

Fax(516) 759-0993

Sole ProprietorYes

Enumeration DateNovember 4, 2008

✔ NPI 1215181284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 034240

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.

5 WIER LANE, Nassau County, Long Island, NY 11560

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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)

Dr. Nicholas John Johnnidis D.m.d. 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 11560 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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 Nicholas Johnnidis's NPI number?

The NPI number for Nicholas Johnnidis is 1215181284. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Nicholas Johnnidis located?

Nicholas Johnnidis practices at 5 Wier Lane Locust Valley, Nassau County, Long Island, NY 11560. The listed phone number is (516) 759-2288.

What is Nicholas Johnnidis's specialty?

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

Is Nicholas Johnnidis enrolled in Medicare?

Yes. Nicholas Johnnidis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Johnnidis was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.