Organization Active NPI

Daniel Nelson MD PA

  • Orthopaedic Surgery Physician
  • Midland, TX
National Provider Identifier
1366539900
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
187960301MedicaidTX
0071NZOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.