IndividualActive
Kenton Nicholas, DDS
NPI 1407834120 · Oral & Maxillofacial Surgery (D.M.D.) · Greeley, CO
Provider details
- NPI number
- 1407834120
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 604 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 16th St
Greeley, CO 80631-5114
Phone: (970) 350-2458
Fax: (970) 392-4715
Approximate (ZIP-level) locationGet directions
Mailing address
1900 16th St
Greeley, CO 80631-5114
Registry dates
- Enumerated
- 2006-01-03
- Last updated
- 2012-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.