Christopher David Nelson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58551 Issued in CA

Practice address

29632 Highway 299 East
Round Mountain, CA 96084

Phone

(530) 337-5750

Fax

(530) 337-5754

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chris Nelson DDS a Professional Corporation

  dba Nelson Family Dental

  • Dental Clinic/Center
  • Redding, CA
  • NPI 1770296022
  NPD Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1306179239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "960840228",
            "telephone_number": "530-337-5750",
            "fax_number": "530-337-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 HIGHWAY 299 EAST",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "96084",
            "telephone_number": "530-337-5750",
            "fax_number": "530-337-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jacobs
• Joshua Lee Kincannon
• Gerard William Long, LMFT
• Mikhaelii Maplesden, RDH
• Lester Diaz Martinez, DDS
• Hannah McKenzie Pearson, RDH
• Jaclyn Romo, ACSW
• Happy Star Shaw, FNP
• William Hunter Sutherland, DMD
• Kenna Rose Tyree, RDH

• Dentist in Round Mountain, CA
• Providers in Round Mountain, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.