NPIMap

Organization Active NPI

Duane K Nelson, MD, PC

  • Specialist
  • Sioux City, IA
National Provider Identifier
1285775403
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21122 Issued in IA
Legal business name
DUANE K NELSON, MD, PC
Practice address
2800 Pierce St
Suite 101
Sioux City, IA 51104-3755
Phone
(712) 224-8677
Fax
(712) 277-1662
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Dr. Duane K Nelson, M.D.
Title
President
Phone
(712) 224-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 21122 IA Primary

Addresses

Primary practice location

2800 Pierce St
Suite 101
Sioux City, IA 51104-3755

Mailing address

2800 Pierce St
Suite 101
Sioux City, IA 51104-3755
Phone (712) 224-8677

Other identifiers 1

IdentifierTypeStateIssuer
2181511MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1285775403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043755",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043755",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE K NELSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-224-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "21122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181511",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.