Organization Active NPI

Thomas D Nelson DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1033352745
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2286 Issued in CA
Legal business name
THOMAS D NELSON DPM INC
Practice address
1701 27TH St
Bakersfield, CA 93301-2807
Phone
(661) 322-2895
Fax
(661) 322-2897
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Thomas D Nelson, DPM
Title
Provider
Phone
(661) 322-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2286 CA Primary

Addresses

Primary practice location

1701 27TH St
Bakersfield, CA 93301-2807

Mailing address

1701 27TH St
Bakersfield, CA 93301-2807
Phone (661) 322-2895

Other identifiers 1

IdentifierTypeStateIssuer
000E22860MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1033352745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-322-2895",
            "fax_number": "661-322-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-322-2895",
            "fax_number": "661-322-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D NELSON DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-322-2895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E22860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.