Individual provider Active NPI

Steven A Nelson, DDS

  • Dentist
  • Central Point, OR
National Provider Identifier
1285929158
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D9814 Issued in OR
Practice address
98 Freeman Rd Ste a
Central Point, OR 97502-2675
Phone
(541) 664-8300
Fax
(541) 664-8301
NPI assigned
Jun 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9814 OR Primary

Addresses

Primary practice location

98 Freeman Rd Ste a
Central Point, OR 97502-2675

Mailing address

98 Freeman Rd Ste a
Central Point, OR 97502-2675
Phone (541) 664-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000126 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446498851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9814ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1285929158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FREEMAN RD STE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022675",
            "telephone_number": "541-664-8300",
            "fax_number": "541-664-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FREEMAN RD STE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022675",
            "telephone_number": "541-664-8300",
            "fax_number": "541-664-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

Verify at the official NPI Registry.