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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: October 18, 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, maintains 2 additional practice locations, and is a graduate of Other (2026).

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
Phone(303) 423-4383
Fax(303) 416-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Daniel Nichols Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274090253
PECOS Enrollment IDI20260810002460
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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority
4.4 mi
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Timothy Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Nichols reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 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 2 months 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.