Nelson Dental Healthcare, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053538 Issued in NY

Legal business name

NELSON DENTAL HEALTHCARE, PC

Practice address

274 Delaware Ave
Delmar, NY 12054-1436

Phone

(518) 439-9994

Fax

(518) 439-4152

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Nelson, D.M.D.

Title

Dentist

Phone

(518) 439-9994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Lee Nelson, DMD

  • General Practice Dentistry
  • Delmar, NY
  • NPI 1558423384
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1295269710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-439-9994",
            "fax_number": "518-439-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-439-9994",
            "fax_number": "518-439-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DENTAL HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "518-439-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962689919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Murphy, LCSW
• David Alan Myhre, LMSW
• Kate Natoli
• Nature Nurture Mental Health Counseling PLLC
• Janna Neitzel
• Gary Lee Nelson, DMD
• Lisa Joy Newman, PH.D.
• Phoebe Nguyen-Hageman, DDS
• Daniil Niyazov, MD
• Linda S Nortz, O.T.

• General Practice Dentistry in Delmar, NY
• Providers in Delmar, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.