NICHOLAS T NIKCHEVICH DDS
NPI 1619509460
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since February 10, 2020
1100 N STATE ST RM A3C, LOS ANGELES, CA 90033(805) 728-5583 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2020, Sep 25, 2020, Feb 10, 2020 (3 updates tracked since 2020).

About Nicholas T Nikchevich Dds NPPES

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

NICHOLAS T NIKCHEVICH DDS (NPI 1619509460) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (105583) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1619509460
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNICHOLAS T NIKCHEVICHCredential: DDS
Location Address1100 N STATE ST RM A3CLos Angeles, CA 90033-5000
Mailing Address2753 Waverly Dr Apt 906Los Angeles, CA 90039-2788 · (805) 728-5583
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
Last NPPES UpdateSeptember 29, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1619509460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 105583
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.
1100 N STATE ST RM A3C, Los Angeles, CA 90033

Accepted Insurance

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
1100 N STATE ST RM A3C
LOS ANGELES, CA 90033

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 Nicholas Nikchevich's NPI number?

The NPI number for Nicholas Nikchevich is 1619509460. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Nicholas Nikchevich located?

Nicholas Nikchevich practices at 1100 N State St Rm A3c, Los Angeles, CA 90033. The listed phone number is (805) 728-5583.

What is Nicholas Nikchevich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Nicholas Nikchevich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nicholas Nikchevich 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 Nicholas Nikchevich was last updated on September 29, 2020. 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.