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NICHOLAS DULOCK
NPI 1962196949
Dentist - General Practice in Lebanon, NH

Active since June 05, 2023PECOS Enrolled
31 OLD ETNA RD STE N1, LEBANON, NH 03766(978) 888-7403 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 25, 2024, Jun 5, 2023 (2 updates tracked since 2023).

About Nicholas Dulock NPPES

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

NICHOLAS DULOCK (NPI 1962196949) is an individual general practice provider in Lebanon, New Hampshire, licensed in New Hampshire (04831) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1962196949
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS DULOCK
Location Address31 OLD ETNA RD STE N1Lebanon, NH 03766-1933
Mailing Address4 Cedarwood Ln Unit 408Lebanon, NH 03766-4447 · (978) 888-7403
Phone(978) 888-7403
Sole ProprietorYes
Enumeration DateJune 5, 2023
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1962196949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NH · 04831
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.
Also ListedDentistTaxonomy 122300000X · License 04831 (NH)
31 OLD ETNA RD STE N1, Lebanon, NH 03766
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Dulock 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Dulock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dartmouth-Hitchcock Clinic
1.4 mi
Rehabilitation, Substance Use Disorder
85 MECHANIC ST STE B3-1
Lebanon, NH 03766
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1124681846 (603) 653-1860
Mary Hitchcock Memorial Hospital
1.9 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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

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

DR. THOMAS G. SCHELL, D.M.D., PLLC
Dentist (General Practice)
31 OLD ETNA RD STE N1
LEBANON, NH 03766
Grafton County (603) 448-3800

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 Dulock's NPI number?

The NPI number for Nicholas Dulock is 1962196949. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Nicholas Dulock located?

Nicholas Dulock practices at 31 Old Etna Rd Ste N1, Lebanon, NH 03766. The listed phone number is (978) 888-7403.

What is Nicholas Dulock's specialty?

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

Is Nicholas Dulock enrolled in Medicare?

Yes. Nicholas Dulock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Dulock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Dulock reassigns Medicare benefits to 2 organizations: Dartmouth-Hitchcock Clinic (Lebanon, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Dulock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Dulock accept?

Health plans from Harvard Pilgrim Health Care list Nicholas Dulock 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 Dulock was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.