Robert L Nelson DDS Mobile, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5212 Issued in KS

Legal business name

ROBERT L NELSON DDS MOBILE, LLC

Practice address

9608 W 123Rd St
Overland Park, KS 66213-1689

Phone

(816) 707-7092

Fax

(913) 273-4712

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Charles R Crutchfield

Title

Manager

Phone

(816) 807-7092

Specialties & licenses 1

Addresses

Other names 1

• KC MOBILE DENTAL Doing business as

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1245698778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 W 123RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131689",
            "telephone_number": "816-707-7092",
            "fax_number": "913-273-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 W 123RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131689",
            "telephone_number": "816-707-7092",
            "fax_number": "913-273-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L NELSON DDS MOBILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-807-7092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC MOBILE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patti Rizzotto, CRNA
• RMW Therapy LLC
• Christopher Roatch, NURSE PRACTITIONER
• Bobbiejean Roberson
• Michael Roberson, MA, LPC, NCC
• Robert T. Tenny M.D., P.a.
• David Troy Robert, PT
• Lori Robert, OTR
• Roberts Wellness Center, P.a.
• Alyssa N Roberts

• Home Health Agency in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.