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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TIMOTHY R NICKLAS DDS
NPI 1396744280
Dentist in Wewoka, OK

Active since July 21, 2005PECOS Enrolled
HWY 56 & 270 JUNCTION, WEWOKA, OK 74884(405) 257-7318(405) 257-2696 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy R Nicklas Dds NPPES

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

DR. TIMOTHY R NICKLAS DDS (NPI 1396744280) is an individual dentist in Wewoka, Oklahoma, licensed in Oklahoma (1000) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396744280
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIMOTHY R NICKLASCredential: DDS
Location AddressHWY 56 & 270 JUNCTIONWewoka, OK 74884
Mailing AddressPo Box 1475Wewoka, OK 74884-1475 · (405) 257-7318 · Fax (405) 257-2696
Phone(405) 257-7318
Fax(405) 257-2696
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396744280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 1000
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.
HWY 56 & 270 JUNCTION, Wewoka, OK 74884
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Other Identifiers 1

Medicaid1304881OK

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. Timothy R Nicklas Dds 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 74884 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 9

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

DR. RONALD FRIED D.O.
Family Medicine
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
DR. DARWIN G MOORE PH.D
Psychologist
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
MRS. SUSAN DETHMAN CDR
Dietitian, Registered
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
DR. AHJA K. CHON M.D.
Family Medicine
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
MRS. KAREN HEAROD
Counselor
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
DR. PHILLIP WILSON DDS
Dentist
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
DR. CURTIS H BONSER DDS
Dentist
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318
DR. ARSENIO BUENDIA M.D.
Family Medicine
HWY 56 & 270 JUNCTION
WEWOKA, OK 74884
Seminole County (405) 257-7318

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 Timothy Nicklas's NPI number?

The NPI number for Timothy Nicklas is 1396744280. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Timothy Nicklas located?

Timothy Nicklas practices at Hwy 56 & 270 Junction, Wewoka, OK 74884. The listed phone number is (405) 257-7318.

What is Timothy Nicklas's specialty?

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

Is Timothy Nicklas enrolled in Medicare?

Yes. Timothy Nicklas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Nicklas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.