Active NPI
Craig Livezey Nelson, DMD
- Prosthodontics
- Saint Petersburg, FL
National Provider Identifier
1306861653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 475
- Practice address
- VA Health Care System
10,000 Bay Pines Boulvard
Saint Petersburg, FL 33708 - Phone
- (727) 398-9396
- Fax
- (727) 319-1146
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 3340 | SC | |
| Prosthodontics | 1223P0700X | 475 | SC | Primary |
Addresses
Primary practice location
VA Health Care System
10,000 Bay Pines Boulvard
Saint Petersburg, FL 33708
Mailing address
1257 Waterfront Drive
Mount Pleasant, SC 29464-9494
Phone (843) 849-7046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3340 | Other | SC | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3340 | SC | MD | Prosthodontist |
| 475 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306861653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 WATERFRONT DRIVE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294649494",
"telephone_number": "843-849-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA HEALTH CARE SYSTEM",
"address_2": "10,000 BAY PINES BOULVARD",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33708",
"telephone_number": "727-398-9396",
"fax_number": "727-319-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CRAIG",
"middle_name": "LIVEZEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "3340",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "3340",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.