Sean K. Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11338 Issued in MN

Practice address

205 6TH PL NW
Austin, MN 55912-3025

Phone

(507) 433-9515

Fax

(507) 434-0254

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nelson Family Dental, PLLC

  • General Practice Dentistry
  • Austin, MN
  • NPI 1598753493
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215925151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 6TH PL NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123025",
            "telephone_number": "507-433-9515",
            "fax_number": "507-434-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 6TH PL NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123025",
            "telephone_number": "507-433-9515",
            "fax_number": "507-434-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SEAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS IDENTIFIE",
            "identifier": "1035",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IDENTIFIER",
            "identifier": "124L8NE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layiet James Nathanael
• Emily Nicole Neirby
• Larry Taft Nelsen, M.D.
• Nelson Family Dental, PLLC
• Diana L Nelson, PA
• Keri Leigh Nestler, SLP
• Kelly Nesvold, DC
• Kjersten Nett, RD, LD
• Matthew Neumann, PHARMD, RPH
• New Med LLC

• General Practice Dentistry in Austin, MN
• Providers in Austin, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.