Evan Paul Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2494 Issued in ND

Practice address

910 16TH Ave N
Wahpeton, ND 58075-3217

Phone

(701) 541-3094

NPI assigned

May 10, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 PC

  • General Practice Dentistry
  • Wahpeton, ND
  • NPI 1043033442
  NPD Authorized official
• Nelson Dental Clinic PC

  dba Sisseton Dental Clinic

  • Dentist
  • Sisseton, SD
  • NPI 1518463892
  NPD Authorized official

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1376861708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 16TH AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753217",
            "telephone_number": "701-642-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 16TH AVE N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753217",
            "telephone_number": "701-541-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "EVAN",
        "middle_name": "PAUL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Moats
• Thomas J Mohs, MD
• Sarah Lynn Myron, O.D.
• Muhammad Nakalai
• Nelson Dental PC
• Jacquelyn Sue Noble, PHARMD
• Kristi Nordick
• Laureen Nordick
• Annika Norman
• North Dakota State College of Science

• General Practice Dentistry in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.