NPIMap

Organization Active NPI

Frank Nelson, DDS, PC

Doing business as Thunder Mountain Dentistry

  • General Practice Dentistry
  • Bullhead City, AZ
National Provider Identifier
1184839276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRANK NELSON, DDS, PC
Doing business as
Thunder Mountain Dentistry
Practice address
3015 Highway 95
Suite 108a
Bullhead City, AZ 86442-4334
Phone
(928) 763-9803
Fax
(928) 763-6813
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3015 Highway 95
Suite 108a
Bullhead City, AZ 86442-4334

Mailing address

3015 Highway 95
Suite 108a
Bullhead City, AZ 86442-4334
Phone (928) 763-9803

Other names 1

  • Thunder Mountain Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frank Nelson DDS PC63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

3015 Highway 95
Ste 108A
Bullhead City, AZ 86442
Phone (928) 763-9803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184839276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95",
            "address_2": "SUITE 108A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-9803",
            "fax_number": "928-763-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95",
            "address_2": "SUITE 108A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-9803",
            "fax_number": "928-763-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK NELSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thunder Mountain Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.