Mark Clinton Nielsen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

M607 Issued in SD

Practice address

465 S Pierre Street
Pierre, SD 57501-4507

Phone

(605) 224-7774

Fax

(605) 224-9171

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mark C Nielsen DDS PC

  • General Practice Dentistry
  • Pierre, SD
  • NPI 1962606285
  NPD (past)
• Pierre Family Dental Prof LLC

  • General Practice Dentistry
  • Pierre, SD
  • NPI 1669834933
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013135581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S PIERRE STREET",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S PIERRE STREET",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014507",
            "telephone_number": "605-224-7774",
            "fax_number": "605-224-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MARK",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ada Ruth Murphy, PH.D.
• Michael Patrick Murphy, CRNA
• Murray M. Thompson DDS, PC
• Brenda Nedved, MA CCC-SLP
• Debra Ann Ness, LPC, NCC
• Shelley L Nielson, MD
• Dawn Leigh Nordquist, CNM
• Whitney Nordvold, CSW
• Jayne L Novotny, PA
• Oahe Chiropractic and Wellness, P.C.

• Dentist in Pierre, SD
• Providers in Pierre, SD by specialty
• Dentist in South Dakota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.