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DAVID W NICHOLS MD
NPI 1508941758
Pediatrics in Southlake, TX

Active since October 26, 2006PECOS Enrolled
480 W SOUTHLAKE BLVD, STE 133, SOUTHLAKE, TX 76092(817) 329-9234(817) 329-9239 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About David W Nichols Md NPPES

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

DAVID W NICHOLS MD (NPI 1508941758) is an individual pediatrics provider in Southlake, Texas, licensed in Texas (J6631) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508941758
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID W NICHOLSCredential: MD
Location Address480 W SOUTHLAKE BLVD, STE 133Southlake, TX 76092-6162
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(817) 329-9234
Fax(817) 329-9239
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1508941758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J6631
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
480 W SOUTHLAKE BLVD, Southlake, TX 76092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.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)

David W Nichols Md 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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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 4

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

MR. CHARLES BYROM RUSSEY MD
Family Medicine
480 W SOUTHLAKE BLVD, STE 115
SOUTHLAKE, TX 76092
Tarrant County (817) 416-2221
ROGER S KNAPP II MD
Pediatrics
480 W SOUTHLAKE BLVD, STE 133
SOUTHLAKE, TX 76092
Tarrant County (817) 329-9234
CHARLES B RUSSEY
Family Medicine
480 W SOUTHLAKE BLVD, SUITE 115
SOUTHLAKE, TX 76092
Tarrant County (817) 416-2221
ROHINI KAUR BAJAJ D.D.S.
Dentist
480 W SOUTHLAKE BLVD, STE #132
SOUTHLAKE, TX 76092
Tarrant County (817) 481-3737

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 David Nichols's NPI number?

The NPI number for David Nichols is 1508941758. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is David Nichols located?

David Nichols practices at 480 W Southlake Blvd Ste 133, Southlake, TX 76092. The listed phone number is (817) 329-9234.

What is David Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Nichols enrolled in Medicare?

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

What insurance does David Nichols accept?

Health plans from Baylor Scott and White Health Plan list David 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 David Nichols was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.