Teresa Lee Nelson, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1888 Issued in MT

Practice address

50 Village Loop Rd
Kalispell, MT 59901-2793

Phone

(406) 755-4166

Fax

(406) 755-4644

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Distinctions PC

  • Dentist
  • Kalispell, MT
  • NPI 1285037457
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013039742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012793",
            "telephone_number": "406-755-4166",
            "fax_number": "406-755-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VILLAGE LOOP RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012793",
            "telephone_number": "406-755-4166",
            "fax_number": "406-755-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TERESA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina S Nelson, M.D.
• Jessica Nelson, PMHNP, MSN, RN
• Juanita Nelson, LAC
• Kathleen G. Nelson, M.D.
• Peter B. Nelson, DMD, PC
• Theresa L Nelson, CMT LMT
• Jose Ness, MD
• Samantha Tarver Neve
• New Dimensions Counseling, LLC
• New Hope Medicine Clinical Preventative Services

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.