Active NPI
Daniel Nelson MD PA
- Orthopaedic Surgery Physician
- Midland, TX
National Provider Identifier
1366539900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DANIEL NELSON MD PA
- Practice address
- 2501 W Illinois Ave
Suite D
Midland, TX 79701-6338 - Phone
- (432) 686-6660
- Fax
- (432) 686-6651
- NPI assigned
- Oct 6, 2006
- Last updated
- Mar 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel G Nelson, MD
- Title
- Owner
- Phone
- (432) 686-6660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2501 W Illinois Ave
Suite D
Midland, TX 79701-6338
Mailing address
PO Box 5255
Midland, TX 79704-5255
Phone (432) 686-6660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187960301 | Medicaid | TX | |
| 0071NZ | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
2501 W Illinois Ave
Ste D
Midland, TX 79701
Phone (432) 618-9975
5609 Deauville
Midland, TX 79706
Phone (432) 697-3629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1366539900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5255",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797045255",
"telephone_number": "432-686-6660",
"fax_number": "432-686-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W ILLINOIS AVE",
"address_2": "SUITE D",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797016338",
"telephone_number": "432-686-6660",
"fax_number": "432-686-6651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL NELSON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "432-686-6660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187960301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0071NZ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.