NPI 1679440192 · live from the CMS NPI Registry
Jeffrey Charles Nickel, DMD MSc PhD
Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1679440192, active.
NPI record
| NPI | 1679440192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2730 S Moody Ave, Portland, OR 97201 |
| Practice phone | 503-494-8223 |
| Enumerated | October 20, 2025 |
| Last updated | October 20, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DF0041 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.