Jason R. Nelsen DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7540 Issued in NC

Legal business name

JASON R. NELSEN DDS PLLC

Practice address

7920 Moores Chapel Rd Ste a
Charlotte, NC 28214-8924

Phone

(704) 392-8199

Fax

(704) 392-8441

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Jason Nelsen, DDSNPI 1780786483

Title

Managing Member

Phone

(704) 392-8199

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jason Nelsen, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1780786483

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1104096502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MOORES CHAPEL RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148924",
            "telephone_number": "704-392-8199",
            "fax_number": "704-392-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MOORES CHAPEL RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148924",
            "telephone_number": "704-392-8199",
            "fax_number": "704-392-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. NELSEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-392-8199",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780786483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahithi Jarugula, MBBS
• Charleen Jarvis, LPC, NCC
• Douglas Landry Jarvis, M.D.
• Ericka G Jarvis, M.S., LCMHC
• Jason D Creek
• Jasper Psychological Services, PLLC
• Alvin Jasper
• Kendall Jasper, PH.D.
• Mike Deva Jasper, LCAS-A
• Paul Kevin Jaszewski, MD

• All providers in Charlotte, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.