Scott J. Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17634 Issued in MI

Practice address

427 Centerstone CT
Zeeland, MI 49464-2247

Phone

(616) 748-4100

Fax

(616) 748-0608

NPI assigned

Nov 14, 2006

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 MI

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 and National Provider Directory roles.

• Nelson Dental P.C.

  • General Practice Dentistry
  • Zeeland, MI
  • NPI 1386819159
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1336211408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 CENTERSTONE CT",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642247",
            "telephone_number": "616-748-4100",
            "fax_number": "616-748-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 CENTERSTONE CT",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642247",
            "telephone_number": "616-748-4100",
            "fax_number": "616-748-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetra Mydlo, DC
• Jason P Myers, D.O.
• Natasha Rietveld Postma, LMSW, PLC
• Christina Joy Nehil, PAC
• Nelson Dental P.C.
• Peter F. Newhouse, PHD, LLMSW
• Providence Ngoh
• Cortney A Nguyen, DMD
• Melissa Nobili
• Aaliyah G Norte

• General Practice Dentistry in Zeeland, MI
• Providers in Zeeland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.