Dusty Nielsen, D.C. P.L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

3860 Issued in OK

Legal business name

DUSTY NIELSEN, D.C. P.L.L.C.

Practice address

1502 Oklahoma Ave
Woodward, OK 73801-4357

Phone

(580) 256-3122

Fax

(580) 254-3839

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dusty L Nielsen, D.C.NPI 1184801623

Title

Owner

Phone

(580) 256-3122

Specialties & licenses 1

Addresses

Other names 1

• Nielsen Chiropractic Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Dusty L Nielsen, D.C.

  • Chiropractor
  • Woodward, OK
  • NPI 1184801623

  OK

  Medicare reassignment NPD Authorized official
• Richard Dennis Brown, M.D.

  • Family Medicine Physician
  • Woodward, OK
  • NPI 1083766174
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1154590016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738014357",
            "telephone_number": "580-256-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738014357",
            "telephone_number": "580-256-3122",
            "fax_number": "580-254-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTY NIELSEN, D.C. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-256-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OK",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nielsen Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacoby John Dewald, OD
• Denise Dixon
• Sara Nicole Drinnon
• DRS Peck & Peck PC
• DRS Ray PLLC
• Cheyenne Edwards
• Jo Eike
• Joanna Elliott, APRN
• Susan Kay Ellis
• Sierra Dawn Elsey, DNP NP-C BSN IBCLC

• All providers in Woodward, OK
• Health Service Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.