DR. IAN ALEXANDER NICCUM DMD
NPI 1497481063
Dentist - General Practice in Appleton, WI

Active since July 26, 2022
W6261 NEUBERT RD, APPLETON, WI 54913(920) 954-1110 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ian Alexander Niccum Dmd NPPES

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

DR. IAN ALEXANDER NICCUM DMD (NPI 1497481063) is an individual general practice provider in Appleton, Wisconsin, licensed in Wisconsin (6000061-15) and active in the NPI registry since July 2022. He maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1497481063
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IAN ALEXANDER NICCUMCredential: DMD
Location AddressW6261 NEUBERT RDAppleton, WI 54913
Mailing AddressW7030 Bluebluff WayGreenville, WI 54942-9783 · (217) 722-1737
Sole ProprietorNo
Enumeration DateJuly 26, 2022
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 7, 2025
NPI 1497481063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6000061-15
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.
W6261 NEUBERT RD, Appleton, WI 54913

Secondary Practice Location 1

Location 1N1734 Lily Of The Valley DrGreenville, WI 54942-9044 · Phone (920) 289-2440

Accepted Insurance

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.

Dentist
W6261 NEUBERT RD
APPLETON, WI 54913
Dentist (General Practice)
W6261 NEUBERT RD
APPLETON, WI 54913

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 Ian Niccum's NPI number?

The NPI number for Ian Niccum is 1497481063. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Ian Niccum located?

Ian Niccum practices at W6261 Neubert Rd, Appleton, WI 54913. The listed phone number is (920) 954-1110.

What is Ian Niccum's specialty?

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

What insurance does Ian Niccum accept?

Health plans from Delta Dental of Wisconsin, Inc. list Ian Niccum 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 Ian Niccum was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.