Thomas L Nelson DDS Mba LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019401 Issued in IL

Legal business name

THOMAS L NELSON DDS MBA LTD

Practice address

360 W Butterfield Rd
Suite 180
Elmhurst, IL 60126-5068

Phone

(630) 832-3120

Fax

(630) 832-3730

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L Nelson, DDS

Title

Doctor

Phone

(630) 832-3120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1326313511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD",
            "address_2": "SUITE 180",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "630-832-3120",
            "fax_number": "630-832-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD",
            "address_2": "SUITE 180",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "630-832-3120",
            "fax_number": "630-832-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L NELSON DDS MBA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-832-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.