Active NPI
Ross Robert Nelson, D.D.S.
- Dentist
- Newaygo, MI
National Provider Identifier
1225321136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901020378
- Practice address
- 868 E 82ND St
Newaygo, MI 49337-8806 - Phone
- (231) 250-5003
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901020378 | MI | Primary |
Addresses
Primary practice location
868 E 82ND St
Newaygo, MI 49337-8806
Mailing address
868 E 82ND St
Newaygo, MI 49337-8806
Phone (231) 250-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150608001288 | MI | Order and Referring Only - Dentist | 9335460989 |
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": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1225321136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 E 82ND ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378806",
"telephone_number": "231-250-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 E 82ND ST",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "493378806",
"telephone_number": "231-250-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ROSS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901020378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
- Nathan G Morse, PTA
- Suzann Marie Mullennix, LMT
- Evangelina Navarro, M.A., LPC
- Nelson & Nelson, DDS PLC (Newaygo Family Dental Care)
- Dennis Nelson
- New Horizons Health Services PLLC
- Newaygo Chiropractic Center P.C.
- Newaygo County General Hospital Association
- Newaygo County General Hospital Association (Corewell Health Gerber Hospital Family Medicine - Newaygo)
- Newaygo County General Hospital Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.