IndividualActive
Samuel Nicholson, DMD
NPI 1659017051 · Pediatric Dentistry · Washington, DC
Provider details
- NPI number
- 1659017051
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 30.027648 (OH)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-5000
Street-level locationGet directions
Mailing address
825 Junction Way Apt 419
Columbus, OH 43212-2575
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.