Marc Andrew Nelson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6110 Issued in NV

Practice address

710 N Division St
Carson City, NV 89703-3921

Phone

(775) 882-4242

Fax

(775) 882-4657

NPI assigned

Apr 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1306136858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033921",
            "telephone_number": "775-882-4242",
            "fax_number": "775-882-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033921",
            "telephone_number": "775-882-4242",
            "fax_number": "775-882-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Wellness Care Plan Association
• Jessica Natland
• Denisa Floriana Neagos
• Kim Nehrboss-Allen, RN
• Kaylee Ann Nelson, PA
• Jacquelyn Nemedez, PT DPT
• April Lee Nesmith, MA PC
• Serwind Osgood Bancks Netzler
• Nevada Children'S Foundation, Inc.
• Nevada CVS Pharmacy LLC

• General Practice Dentistry in Carson City, NV
• Providers in Carson City, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.