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DR. NICKLAUS COLE BLUE DMD
NPI 1528817046
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 16, 2024
875 UNION AVE STE C211, MEMPHIS, TN 38103(901) 448-6233 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Nicklaus Cole Blue Dmd NPPES

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

DR. NICKLAUS COLE BLUE DMD (NPI 1528817046) is an individual student in an organized health care education/training program in Memphis, Tennessee, licensed in Tennessee (390200000X) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1528817046
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICKLAUS COLE BLUECredential: DMD
Location Address875 UNION AVE STE C211Memphis, TN 38103-3513
Mailing Address1293 Island Place EastMemphis, TN 38103 · (601) 551-2583
Phone(901) 448-6233
Sole ProprietorNo
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1528817046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TN · 390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
875 UNION AVE STE C211, Memphis, TN 38103
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Other Providers at the Same Location NPPES 11

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

DR. MICHAEL KOEN
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6210
JON AARON HOWELL
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6233
DR. DAVID WILES WIGGINS DMD
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6213
DR. KAYLA MARIE RANKIN DDS
Dentist (Pediatric Dentistry)
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6240
DR. MADISON CRAIG DDS
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6210
DR. JORDAN GALL DDS
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6210
DR. NICHOLAS MERWIN DDS
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6210
DR. ANDREW DAVID BURNHAM DMD
Student in an Organized Health Care Education/Training Program
875 UNION AVE STE C211
MEMPHIS, TN 38103
Shelby County (901) 448-6210

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 Nicklaus Blue's NPI number?

The NPI number for Nicklaus Blue is 1528817046. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Nicklaus Blue located?

Nicklaus Blue practices at 875 Union Ave Ste C211, Memphis, TN 38103. The listed phone number is (901) 448-6233.

What is Nicklaus Blue's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicklaus Blue was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.