Active NPI
Douglas Richard Nelson, D.D.S.
- General Practice Dentistry
- Appleton, WI
National Provider Identifier
1255348637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2347
- Practice address
- 3521 Commerce CT
Appleton, WI 54911-8579 - Phone
- (920) 734-7730
- Fax
- (920) 734-0456
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2347 | WI | Primary |
Addresses
Primary practice location
3521 Commerce CT
Appleton, WI 54911-8579
Mailing address
3521 Commerce CT
Appleton, WI 54911-8579
Phone (920) 734-7730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2347 | WI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Appleton Dentistry, LLC | Past | Accepting new patients | |
| Richard J. Schoengarth DDS SC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Appleton, WI
- NPI 1194241216
-
- General Practice Dentistry
- Appleton, WI
- NPI 1669556619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255348637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 COMMERCE CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118579",
"telephone_number": "920-734-7730",
"fax_number": "920-734-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 COMMERCE CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118579",
"telephone_number": "920-734-7730",
"fax_number": "920-734-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DOUGLAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.