Individual provider Active NPI

Robert William Nelson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cypress, TX
National Provider Identifier
1255903118
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
37348 Issued in TX
Practice address
9430 Fry Rd
Suite 800
Cypress, TX 77433
Phone
(281) 213-5065
NPI assigned
Jul 12, 2021
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 37348 TX Primary

Addresses

Primary practice location

9430 Fry Rd
Suite 800
Cypress, TX 77433

Mailing address

2803 County Road 237
Alvin, TX 77511-9302
Phone (281) 840-3303

Other practice location 1

1920 West Loop
El Campo, TX 77437-8007
Phone (979) 475-1227

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

LicenseStateTypeSpecialty
37348TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Family Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 13, 2024 Accepting new patients

Locations

9430 Fry Rd
Ste 800
Cypress, TX 77433
Phone (281) 213-5065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1255903118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 COUNTY ROAD 237",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775119302",
            "telephone_number": "281-840-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 FRY RD",
            "address_2": "SUITE 800",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-213-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 West Loop",
            "address_purpose": "LOCATION",
            "city": "El Campo",
            "state": "TX",
            "postal_code": "774378007",
            "country_code": "US",
            "telephone_number": "979-475-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.