SAMUEL BAHRAM NICHOLSON DMD
NPI 1659017051
Dentist - Pediatric Dentistry in Washington, DC

Q: What is Samuel Nicholson's NPI number?

The NPI number for Samuel Nicholson is 1659017051. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Samuel Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Nicholson was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since May 09, 2022

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 3, 2024, May 9, 2022 (2 updates tracked since 2022).

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About Samuel Bahram Nicholson Dmd NPPES

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

SAMUEL BAHRAM NICHOLSON DMD (NPI 1659017051) is an individual pediatric dentistry provider in Washington, District Of Columbia, licensed in Ohio (30.027648) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1659017051

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameSAMUEL BAHRAM NICHOLSONCredential: DMD

Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916

Mailing Address825 Junction Way Apt 419Columbus, OH 43212-2575 · (740) 644-1230

Phone(202) 476-5000

Sole ProprietorNo

Enumeration DateMay 9, 2022

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1659017051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OH · 30.027648

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 MICHIGAN AVE NW, Washington, DC 20010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

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 Samuel Nicholson's NPI number?

The NPI number for Samuel Nicholson is 1659017051. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Samuel Nicholson located?

Samuel Nicholson practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Samuel Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Samuel Nicholson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Ohio and Guardian and 4 other insurers list Samuel Nicholson 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 Samuel Nicholson was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.