Eric Webb Nelson, MD, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D-3420-OS Issued in ID

Practice address

3003 W Main St Ste 130
Boise, ID 83702-2026

Phone

(208) 342-7610

Fax

(208) 344-1799

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1376593640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W MAIN ST STE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022026",
            "telephone_number": "208-342-7610",
            "fax_number": "208-344-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W MAIN ST STE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022026",
            "telephone_number": "208-342-7610",
            "fax_number": "208-344-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ERIC",
        "middle_name": "WEBB",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "ID",
            "license": "D-3420-OS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cameron Nelson, P.A.
• David Morgan Nelson
• Dennis W Nelson, PHARMD
• Dianne Denise Nelson, PT
• Eric Nelson, RN
• Jayne Nelson, PA-C
• Justin Michael Nelson
• Kinsey Elora Nelson, LPC
• Kristi Nelson, MA
• Lisa M Nelson, M.D.

• Oral and Maxillofacial Pathology Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• Oral and Maxillofacial Pathology Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.