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KEIRA LYNN NICHOLSON DDS
NPI 1881002434
Dentist in Edina, MN

Active since July 28, 2014Opted out of Medicare · through Aug 24, 2027
7225 OHMS LN STE 180, EDINA, MN 55439(952) 345-0290(952) 920-0105 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2023, Feb 8, 2019, May 22, 2018 (3 updates tracked since 2018).

About Keira Lynn Nicholson Dds NPPES

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

KEIRA LYNN NICHOLSON DDS (NPI 1881002434) is an individual dentist in Edina, Minnesota, licensed in Minnesota (D13450) and active in the NPI registry since July 2014. She has opted out of Medicare through August 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881002434
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKEIRA LYNN NICHOLSONCredential: DDS
Location Address7225 OHMS LN STE 180Edina, MN 55439-2172
Mailing Address7225 Ohms Ln Ste 180Edina, MN 55439-2172 · (952) 345-0290 · Fax (952) 920-0105
Phone(952) 345-0290
Fax(952) 920-0105
Sole ProprietorYes
Enumeration DateJuly 28, 2014
Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1881002434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13450
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7225 OHMS LN STE 180, Edina, MN 55439
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Keira Lynn Nicholson 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 August 24, 2023 through August 24, 2027.

Opt-Out Effective DateAugust 24, 2023
Opt-Out In Effect ThroughAugust 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Keira Nicholson's NPI number?

The NPI number for Keira Nicholson is 1881002434. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Keira Nicholson located?

Keira Nicholson practices at 7225 Ohms Ln Ste 180, Edina, MN 55439. The listed phone number is (952) 345-0290.

What is Keira Nicholson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Keira Nicholson enrolled in Medicare?

No. Keira Nicholson has opted out of Medicare through August 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Keira Nicholson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Keira 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 Keira Nicholson was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.