MATTHEW CHARLES NIMMICH D.M.D.
NPI 1598103277
Dentist - Oral and Maxillofacial Surgery in West Columbia, SC

Active since June 04, 2013Opted out of Medicare · through Jul 20, 2027
112 SALUDA RIDGE CT STE 400, WEST COLUMBIA, SC 29169(980) 243-3306 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2026, May 13, 2025, Feb 13, 2020 and 1 more (4 updates tracked since 2019).

About Matthew Charles Nimmich D.m.d. NPPES

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

MATTHEW CHARLES NIMMICH D.M.D. (NPI 1598103277) is an individual oral and maxillofacial surgery provider in West Columbia, South Carolina, licensed in South Carolina (2018) and active in the NPI registry since June 2013. He has opted out of Medicare through July 20, 2027.

NPPES Registry Identity

NPI1598103277
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMATTHEW CHARLES NIMMICHCredential: D.M.D.
Location Address112 SALUDA RIDGE CT STE 400West Columbia, SC 29169-3461
Mailing Address112 Saluda Ridge Ct Ste 400West Columbia, SC 29169-3461 · (980) 243-3306
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateMay 9, 20264 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
NPI 1598103277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in SC · 2018
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

112 SALUDA RIDGE CT STE 400, West Columbia, SC 29169

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Matthew Charles Nimmich D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 20, 2021 through July 20, 2027.

Opt-Out Effective DateJuly 20, 2021
Opt-Out In Effect ThroughJuly 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
112 SALUDA RIDGE CT STE 400
WEST COLUMBIA, SC 29169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598103277, enumerated as an "individual" on June 04, 2013.

The provider is located at 112 SALUDA RIDGE CT STE 400 WEST COLUMBIA, SC 29169 and the phone number is (980) 243-3306.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Delta. Please consult your insurance carrier or call the provider to verify.