Nicklaus Blue, DMD
NPI 1528817046 · Student in an Organized Health Care Education/Training Program · Memphis, TN
Nicklaus Blue, DMD is a Student in an Organized Health Care Education/Training Program provider in Memphis, TN (NPI 1528817046).
Provider details
- NPI number
- 1528817046
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 390200000X (TN)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 390200000X (TN)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Frequently asked questions
- What is Nicklaus Blue's NPI number?
- Nicklaus Blue's National Provider Identifier (NPI) is 1528817046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicklaus Blue's specialty?
- Nicklaus Blue is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Nicklaus Blue located?
- Nicklaus Blue's practice location on file with NPPES is 875 Union Ave Ste C211, Memphis, TN 38103-3513.
- What is Nicklaus Blue's phone number?
- The practice phone number listed in the NPPES registry for Nicklaus Blue is (901) 448-6233.
- Is Nicklaus Blue's NPI active?
- Yes — Nicklaus Blue's NPI (1528817046) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.