DR. MARK ROBERTS NICHOLS D.D.S.
NPI 1659317352
Dentist - General Practice in Grove, OK

Active since June 21, 2006PECOS Enrolled
3651 HIGHWAY 59 N, GROVE, OK 74344(918) 786-4084(918) 786-4984 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Roberts Nichols D.d.s. NPPES

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

DR. MARK ROBERTS NICHOLS D.D.S. (NPI 1659317352) is an individual general practice provider in Grove, Oklahoma, licensed in Oklahoma (4424) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659317352
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK ROBERTS NICHOLSCredential: D.D.S.
Location Address3651 HIGHWAY 59 NGrove, OK 74344-3705
Mailing Address3651 Highway 59 NGrove, OK 74344-3705 · (918) 786-4084 · Fax (918) 786-4984
Fax(918) 786-4984
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659317352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 4424
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.
3651 HIGHWAY 59 N, Grove, OK 74344

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Roberts Nichols D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mark Nichols's NPI number?

The NPI number for Mark Nichols is 1659317352. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Mark Nichols located?

Mark Nichols practices at 3651 Highway 59 N, Grove, OK 74344. The listed phone number is (918) 786-4084.

What is Mark Nichols's specialty?

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

Is Mark Nichols enrolled in Medicare?

Yes. Mark Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Nichols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.