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DR. RYAN NIKODEM D.D.S.
NPI 1538549134
Dentist - General Practice in Festus, MO

Active since June 09, 2015
1121 W GANNON DR, FESTUS, MO 63028(636) 937-9133 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Nikodem D.d.s. NPPES

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

DR. RYAN NIKODEM D.D.S. (NPI 1538549134) is an individual general practice provider in Festus, Missouri, licensed in Missouri (2015015766) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1538549134
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN NIKODEMCredential: D.D.S.
Location Address1121 W GANNON DRFestus, MO 63028-2602
Mailing Address10635 Forest Lawn CtSaint Louis, MO 63128-1549
Phone(636) 937-9133
Sole ProprietorYes
Enumeration DateJune 9, 2015
✔ NPI 1538549134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2015015766
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.
1121 W GANNON DR, Festus, MO 63028
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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 Alabama and more.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.

DR. GERARD PATRICK NIKODEM DDS
Dentist
1121 W GANNON DR
FESTUS, MO 63028
Jefferson County (636) 937-9133
DR. JOHN NIKODEM DDS
Dentist
1121 W GANNON DR
FESTUS, MO 63028
Jefferson County (636) 937-9133

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 Ryan Nikodem's NPI number?

The NPI number for Ryan Nikodem is 1538549134. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Ryan Nikodem located?

Ryan Nikodem practices at 1121 W Gannon Dr, Festus, MO 63028. The listed phone number is (636) 937-9133.

What is Ryan Nikodem's specialty?

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

What insurance does Ryan Nikodem 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 9 other insurers list Ryan Nikodem 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 Ryan Nikodem was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.