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

TIMOTHY DANIEL NICHOLS DDS
NPI 1467611517
Dentist - Pediatric Dentistry in Denver, CO

Active since June 04, 2008PECOS Enrolled
4383 TENNYSON ST, 1F, DENVER, CO 80212(303) 423-4383(303) 416-4420 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Timothy Daniel Nichols Dds NPPES

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

TIMOTHY DANIEL NICHOLS DDS (NPI 1467611517) is an individual pediatric dentistry provider in Denver, Colorado, licensed in Colorado (9211) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467611517
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameTIMOTHY DANIEL NICHOLSCredential: DDS
Location Address4383 TENNYSON ST, 1FDenver, CO 80212-2363
Mailing Address2055 Ken Pratt Blvd Ste BLongmont, CO 80501-6596 · (303) 776-1194
Fax(303) 416-4420
Sole ProprietorNo
Enumeration DateJune 4, 2008
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1467611517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CO · 9211
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4383 TENNYSON ST, Denver, CO 80212

Secondary Practice Locations 2

Location 1777 Bannock StDenver, CO 80204-4597 · Phone (303) 436-4949
Location 22055 Ken Pratt Blvd Ste BLongmont, CO 80501-6596 · Phone (303) 776-1194

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Daniel Nichols 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 80212 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 Timothy Nichols's NPI number?

The NPI number for Timothy Nichols is 1467611517. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Timothy Nichols located?

Timothy Nichols practices at 4383 Tennyson St 1F, Denver, CO 80212. The listed phone number is (303) 423-4383.

What is Timothy Nichols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Timothy Nichols enrolled in Medicare?

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

What insurance does Timothy Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Timothy Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Nichols was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.