Nelson Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NELSON DENTAL PC

Practice address

910 16TH Ave N
Wahpeton, ND 58075-3217

Phone

(701) 642-0087

Fax

(701) 999-2151

NPI assigned

Nov 4, 2024

Organization subpart

Yes

Parent organization

NELSON DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Evan Paul Nelson, DDSNPI 1376861708

Title

Dentist

Phone

(701) 541-3094

Specialties & licenses 1

Addresses

Part of

Nelson Dental PC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Paul Nelson, D.D.S.

  • General Practice Dentistry
  • Wahpeton, ND
  • NPI 1376861708
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1043033442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 16TH AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753217",
            "telephone_number": "701-642-0087",
            "fax_number": "701-999-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 16TH AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753217",
            "telephone_number": "701-642-0087",
            "fax_number": "701-999-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NELSON DENTAL",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "701-541-3094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa T Mitskog, DC
• Ashley Moats
• Thomas J Mohs, MD
• Sarah Lynn Myron, O.D.
• Muhammad Nakalai
• Evan Paul Nelson, D.D.S.
• Jacquelyn Sue Noble, PHARMD
• Kristi Nordick
• Laureen Nordick
• Annika Norman

• General Practice Dentistry in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.