Active NPI
Dewyun Nelson
- Dental Hygienist
- Mount Morris, NY
National Provider Identifier
1093143273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 027439
- Practice address
- 1 Murray Hill Dr
Mount Morris, NY 14510-1153 - Phone
- (585) 243-7840
- NPI assigned
- Oct 24, 2013
- Last updated
- Oct 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 027439 | NY | Primary |
Addresses
Primary practice location
1 Murray Hill Dr
Mount Morris, NY 14510-1153
Mailing address
2055 E Henrietta Rd
Rochester, NY 14623-3949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027439 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1093143273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 E HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MURRAY HILL DR",
"city": "MOUNT MORRIS",
"state": "NY",
"postal_code": "145101153",
"telephone_number": "585-243-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DEWYUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "027439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Morris, NY
- Linda J Morse, LMSW
- Mosaic Health, Inc.
- Mount Morris Central School
- Mount Morris Central School District
- Mt Morris Taxi Service II Inc
- New Herizons Family Medicine P.C.
- Nicholas H. Noyes Memorial Hospital (Ur Medicine/Noyes Health Dialysis Center)
- Tammy Sue Nichols, RN
- Kristin O'Dell
- Nikole Olson, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.