Derrick Courtney Nelson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10085 Issued in NC

Practice address

149 Brauer Hall Unc Dental School
Chapel Hill, NC 27599-9438

Phone

(919) 537-3944

Fax

(919) 537-3407

NPI assigned

Jun 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: dnelson541118@direct.unc.nchie.net

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1275914871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BRAUER HALL UNC DENTAL SCHOOL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275999438",
            "telephone_number": "919-537-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BRAUER HALL UNC DENTAL SCHOOL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275999438",
            "telephone_number": "919-537-3944",
            "fax_number": "919-537-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Prospect Hill",
            "state": "NC",
            "postal_code": "273149438",
            "country_code": "US",
            "telephone_number": "336-562-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DERRICK",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "10085",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Patrick Nelson-Maney, MD, PHD
• Amanda E. Nelson, M.D.
• Ann Welker Nelson, LCSW
• Annie Wang Nelson, MD
• Christoffer Gregory Lloyd Nelson, CRNA
• Geri Nelson, LCSW
• John Christopher Nelson, DMD
• Tracy Nelson, OTA
• Heather Nemecek, PT, DPT
• Nemta of the Carolinas

• Dentist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.

Verify at the official NPI Registry.