NICHOLAS T NIKCHEVICH DDS
NPI 1619509460
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA
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. He has opted out of Medicare through July 1, 2028.
NPPES Registry Identity
Specialties & Licenses 2
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
Nicholas T Nikchevich Dds 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 1, 2024 through July 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Is Nicholas Nikchevich enrolled in Medicare?
No. Nicholas Nikchevich has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
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.
# Nicholas T Nikchevich, DDS · NPI 1619509460
Oral and Maxillofacial Surgery provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 10, 2020.
## Identity
- **NPI:** 1619509460 (Entity type: Individual)
- **Enumerated:** February 10, 2020
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 105583 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 N STATE ST RM A3C, Los Angeles, CA 90033-5000
- **Phone:** (805) 728-5583
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619509460) · Data from the CMS NPPES public registry.