DR. NICHOLAS POOVEY (DDS) – Periodontics, NPI 1558003889

DR. NICHOLAS POOVEY (DDS) is a healthcare provider. based in Spokane valley, Washington. specializing in PERIODONTICS. They hold the professional credentials DDS. They hold a License No. WAC246817301 (WA). The NPI Number for DR. NICHOLAS POOVEY (DDS) is 1558003889

Main info

Male
7 Years Of Experience
Name
DR. NICHOLAS POOVEY (DDS)
NPI
1558003889
Phone
(509) 927-3272
Address
1005 N EVERGREEN RD STE 102
Enumeration Date
7 April 2022
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3375062375
Professional Enrollment ID
I20250522001974
Address ID
WA992161485SP1005XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2 PERIODONTICS in WA

Provider Addresses for DR. NICHOLAS POOVEY (DDS)

  • 1005 N EVERGREEN RD STE 102

    SPOKANE VALLEY, WA 992161485

    Phone: (509) 927-3272

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Straumann USA LLC ($117).

Total Amount

$167

General + Research + Ownership

Payments

3

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250522001974IPeriodonticsWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99216)

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Reviews

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Frequently asked questions

What is the registry number for DR. NICHOLAS POOVEY (DDS)?
The registry entry for DR. NICHOLAS POOVEY (DDS) shows NPI 1558003889.
Should I treat DR. NICHOLAS POOVEY (DDS) as an active provider?
Patients and plans typically see DR. NICHOLAS POOVEY (DDS) as active in the national extract.
What type of care does DR. NICHOLAS POOVEY (DDS) provide?
DR. NICHOLAS POOVEY (DDS)'s profile centers on Periodontics. Clinical services aligned with this taxonomy classification.
Can patients visit DR. NICHOLAS POOVEY (DDS) in Spokane Valley, Washington?
For routing, start with Spokane Valley, Washington for DR. NICHOLAS POOVEY (DDS), then verify phone and hours locally.
Who maintains DR. NICHOLAS POOVEY (DDS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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