Active NPI
Caitlyn Elizabeth Nelson, D.D.S
- General Practice Dentistry
- Clendenin, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4260
- Practice address
- 107 Koontz Ave Ste 200
Clendenin, WV 25045 - Phone
- (304) 548-2160
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4260 | WV | Primary |
Addresses
Primary practice location
107 Koontz Ave Ste 200
Clendenin, WV 25045
Mailing address
711 Myrtle Rd
Charleston, WV 25314-1117
Phone (304) 767-5464
Other practice location 1
1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-1800
Other practice location 2
415 Morris St Ste 309
Charleston, WV 25301-1853
Phone (304) 388-3290
Other practice location 3
830 Pennsylvania Ave Ste 302
Charleston, WV 25302-3390
Phone (304) 388-2950
Other practice location 4
121 Hendersonville Rd
Asheville, NC 28803-2868
Phone (304) 767-5464
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlyn.nelson@camc.cernerdirect.com | ||
| Direct Messaging Address | caitlyn.nelson@camc.cernerdirect.com | ||
| Direct Messaging Address | caitlyn.nelson@camc.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- West Virginia University School of Dentistry, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12910 Shelbyville Rd
Suite 300
Louisville, KY 40243-2404
400 Association Dr
Charleston, WV 25311-1295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- caitlyn.nelson@camc.cernerdirect.com
- https://api.platform.athenahealth.com/7267/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1043660160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 MYRTLE RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141117",
"telephone_number": "304-767-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 KOONTZ AVE STE 200",
"city": "CLENDENIN",
"state": "WV",
"postal_code": "25045",
"telephone_number": "304-548-2160"
}
],
"practiceLocations": [
{
"address_1": "1220 Lee St E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011863",
"country_code": "US",
"telephone_number": "304-388-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 Morris St Ste 309",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011853",
"country_code": "US",
"telephone_number": "304-388-3290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Pennsylvania Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023390",
"country_code": "US",
"telephone_number": "304-388-2950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Hendersonville Rd",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032868",
"country_code": "US",
"telephone_number": "304-767-5464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "CAITLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4260",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlyn.nelson@camc.cernerdirect.com",
"affiliation": "N",
"address_1": "1220 Lee St E",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253011863",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlyn.nelson@camc.cernerdirect.com",
"affiliation": "N",
"address_1": "415 Morris St Ste 309",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253011853",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlyn.nelson@camc.cernerdirect.com",
"affiliation": "N",
"address_1": "830 Pennsylvania Ave Ste 302",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253023390",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clendenin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.