Richard H. Nellson

Primary specialty

DentistTaxonomy code 122300000X

License

2765 Issued in ME

Legal business name

RICHARD H. NELLSON

Practice address

163 Pleasant Ave
Portland, ME 04103-3242

Phone

(207) 773-3794

Fax

(207) 772-1011

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Hunter Nellson, D.D.S.NPI 1225101702

Title

Owner

Phone

(207) 773-3794

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Hunter Nellson, DDS

  • Dentist
  • Portland, ME
  • NPI 1225101702
  Authorized official Same address or phone

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326253139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033242",
            "telephone_number": "207-773-3794",
            "fax_number": "207-772-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033242",
            "telephone_number": "207-773-3794",
            "fax_number": "207-772-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H. NELLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "12077733794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Rice, M.A.
• Erica K. Rice, PA-C
• Timothy James Rice, CCC/SLP
• Alan Brewster Rich Jr., DMD
• Sallie J Rich, LMT
• Richard P. Lemieux D.M.D., PA
• Amber Lynn Richard, R.N.
• Amber Michele Richards, M.D.
• Daniel L Richards, PH.D
• Ellen D Richards, M.ED

• Dentist in Portland, ME
• Providers in Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.