David Lyman Nelson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS103543 Issued in CA

Practice address

10717 Camino Ruiz Ste 103
San Diego, CA 92126-2310

Phone

(858) 536-1111

NPI assigned

Jun 3, 2010

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

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.

• Hoang Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Escondido, CA
  • NPI 1548821572
  NPD (past)
• Integrated Dental Specialties, Inc

  • Dentist
  • Escondido, CA
  • NPI 1184912339
  NPD (past)
• Z.E.S Cuisia DDS Inc. a Professional Corporation

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1346583069
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1073833844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 JEWELL ST APT N311",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096059",
            "telephone_number": "512-677-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262310",
            "telephone_number": "858-536-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 W Valley Pkwy Ste J",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920292138",
            "country_code": "US",
            "telephone_number": "760-233-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "LYMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Nelson, PH.D.
• Cassie Nelson
• Cole Nelson
• Cristin Danielle Nelson, LCSW
• David G. Nelson, MD
• Deborah Joyce Nelson, MD
• Edward F Nelson, EMT, IDC
• Elise Marie Nelson
• Erin Vera Nelson
• Fern P. Nelson, MD

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.