Active NPI
Zachary D Nelson DMD Dental Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Marcos, CA
National Provider Identifier
1255854758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 101240
- Legal business name
- ZACHARY D NELSON DMD DENTAL CORPORATION
- Practice address
- 950 Boardwalk Ste 104
San Marcos, CA 92078-2600 - Phone
- (760) 290-3932
- NPI assigned
- Jul 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zachary Nelson, DMD MS
- Title
- Owner
- Phone
- (801) 592-6777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 101240 | CA | Primary |
Addresses
Primary practice location
950 Boardwalk Ste 104
San Marcos, CA 92078-2600
Mailing address
950 Boardwalk Ste 104
San Marcos, CA 92078-2600
Phone (760) 290-3932
Other names 1
- Nelson Family Orthodontics
National Provider Directory
National Provider DirectoryLocations
950 Boardwalk
Ste 104
San Marcos, CA 92078
Phone (760) 274-8478
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Thornton, CO
- NPI 1356640882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1255854758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 BOARDWALK STE 104",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782600",
"telephone_number": "760-290-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BOARDWALK STE 104",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782600",
"telephone_number": "760-290-3932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZACHARY D NELSON DMD DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-18",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-592-6777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "101240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nelson Family Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.