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KENT N NICKLAS D.D.S.
NPI 1750395638
Dentist - General Practice in Berea, OH

Active since July 28, 2006PECOS Enrolled
633 W BAGLEY RD, BEREA, OH 44017(440) 234-4646(440) 234-1868 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent N Nicklas D.d.s. NPPES

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

KENT N NICKLAS D.D.S. (NPI 1750395638) is an individual general practice provider in Berea, Ohio, licensed in Ohio (30.018994) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750395638
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENT N NICKLASCredential: D.D.S.
Location Address633 W BAGLEY RDBerea, OH 44017-1356
Mailing Address633 W Bagley RdBerea, OH 44017-1356 · (440) 234-4646 · Fax (440) 234-1868
Phone(440) 234-4646
Fax(440) 234-1868
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 30, 2014
✔ NPI 1750395638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.018994
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.
633 W BAGLEY RD, Berea, OH 44017
Open in Google Maps ↗

Other Identifiers 1

Other34-1198174OH · Tax Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kent N Nicklas 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 44017 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 5

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

BRIAN J. BRITT, D.D.S., LLC
Dentist (General Practice)
633 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 826-4242
TIMOTHY BENNET, DDS, LLC
Clinic/Center (Dental)
633 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 234-4646
MR. STEPHEN LEE MILHOAN JR.
Dentist (General Practice)
633 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 826-4242
GLENN W. GOIST DDS, INC.
Dentist (General Practice)
633 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 826-4242
KENT N NICKLAS DDS INC.
Dentist (General Practice)
633 W BAGLEY RD
BEREA, OH 44017
Cuyahoga County (440) 234-4646

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 Kent Nicklas's NPI number?

The NPI number for Kent Nicklas is 1750395638. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Kent Nicklas located?

Kent Nicklas practices at 633 W Bagley Rd, Berea, OH 44017. The listed phone number is (440) 234-4646.

What is Kent Nicklas's specialty?

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

Is Kent Nicklas enrolled in Medicare?

Yes. Kent Nicklas is registered in the Medicare PECOS enrollment system.

What insurance does Kent Nicklas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Kent Nicklas 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 Kent Nicklas was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.