Dr Clay Moore Nichols, DDS - Medicare Dentist in Imperial, CA

Dr Clay Moore Nichols, DDS is a medicare enrolled "Dentist - General Practice" provider in Imperial, California. His current practice location is 508 W Aten Rd, Imperial, California. You can reach out to his office (for appointments etc.) via phone at (760) 355-4444.

Dr Clay Moore Nichols is licensed to practice in California (license number 34531) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831223841.

Contact Information

Dr Clay Moore Nichols, DDS
508 W Aten Rd,
Imperial, CA 92251-9718
(760) 355-4444
(760) 355-4446



Healthcare Provider's Profile

Full NameDr Clay Moore Nichols
GenderMale
SpecialityDentist - General Practice
Location508 W Aten Rd, Imperial, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831223841
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608188859
  • Enrollment ID: I20150701001174

Medical Identifiers

Medical identifiers for Dr Clay Moore Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831223841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 34531 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clay Moore Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Clay Moore Nichols, DDS
508 W Aten Rd,
Imperial, CA 92251-9718

Ph: (760) 355-4444
Dr Clay Moore Nichols, DDS
508 W Aten Rd,
Imperial, CA 92251-9718

Ph: (760) 355-4444

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Dentist in Imperial, CA

Dr. Gary G Cummings, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251
Phone: 760-337-7900    
Dr. Nelson B. Musgrave, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2302 Brown Road, Centinela State Prison, Imperial, CA 92251
Phone: 760-337-7900    
Michael Negrete, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highway 86, Imperial, CA 92251
Phone: 760-353-5100    
Caroline Antchagno,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2411 Imperial Business Park Dr, Imperial, CA 92251
Phone: 760-355-8606    
Richard Cervantes, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highway 86, Imperial, CA 92251
Phone: 760-353-5100    Fax: 760-353-0576
Byron Justus, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highwy 86, Imperial, CA 92251
Phone: 760-353-5100    Fax: 760-353-0576
Mr. Avetik Ricky Kazarian, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 508 W. Aten Rd., Imperial, CA 92251
Phone: 760-355-4444    Fax: 760-355-4446

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