Dwight L Nelson, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2042 Issued in WA

Practice address

10411 NE Fourth Plain Rd
Vancouver, WA 98662-6303

Phone

(360) 882-1489

NPI assigned

Jun 5, 2006

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

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1083653208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 NW 119TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853714",
            "telephone_number": "360-574-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 NE FOURTH PLAIN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626303",
            "telephone_number": "360-882-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DWIGHT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9052259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryn Nelsen-Soza, LSWIAC
• Daniel Reid Nelsen, PHARM.D
• Akina Nelson
• Angela Nelson, LMP
• Dale Donaldson Nelson, D.M.D.
• Howard A Nelson, MD
• Joshua Herbert Nelson, M.D.
• Lyle Wilfred Nelson, M.D.,D.M.D.
• Michael John Nelson, M.D.
• Samantha Ashley Nelson

• Hearing Instrument Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Hearing Instrument Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.