Jiman C Nelson, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

35543 Issued in TX

Practice address

2400 Mid LN Ste 350
Houston, TX 77027-4466

Phone

(713) 714-4245

NPI assigned

May 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Urbn Dental Meyerland PLLC

  • Periodontics
  • Houston, TX
  • NPI 1649033234
  NPD Authorized official
• DD Citycentre Holdings PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1174033054
  NPD (past)
• Urbn Dental Tanglewood PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1417701566
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1124517735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MID LN STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274466",
            "telephone_number": "713-714-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MID LN STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274466",
            "telephone_number": "713-714-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_2": "School of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JIMAN",
        "middle_name": "C",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4007-18",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Nelson, OT
• Jayden Ciria Michelle Nelson
• Jazzmene A Nelson
• Jessica Lynelle Nelson, M.D.
• Jillian Nelson
• Jonathan Campbell Nelson, M.D.
• Judith A Nelson, PH.D., LPC, LMFT
• Kamelah L Nelson
• Kate Nelson
• Kathryn Nelson

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.