Individual provider Active NPI

Rodney Nelson, DDS

  • General Practice Dentistry
  • Duncan, OK
National Provider Identifier
1205879160
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4-4484 Issued in OK
Practice address
1501 Brookwood Ave
Suite F
Duncan, OK 73533-1358
Phone
(580) 252-2111
Fax
(580) 252-2111
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4-4484 OK Primary

Addresses

Primary practice location

1501 Brookwood Ave
Suite F
Duncan, OK 73533-1358

Mailing address

2606 Wildwood PL
Duncan, OK 73533-1805
Phone (580) 252-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910000938 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779702527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205879160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 WILDWOOD PL",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331805",
            "telephone_number": "580-252-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROOKWOOD AVE",
            "address_2": "SUITE F",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331358",
            "telephone_number": "580-252-2111",
            "fax_number": "580-252-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4-4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.