James Robert Nelson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6368 Issued in LA

Practice address

3812 Ridgelake Dr
Suite 300
Metairie, LA 70002-7255

Phone

(504) 849-0190

Fax

(504) 849-0192

NPI assigned

Apr 29, 2013

Last updated

May 24, 2013By the provider in NPPES

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 LA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James R. Nelson, DDS, LLC

  • Dental Clinic/Center
  • Metairie, LA
  • NPI 1922524057
  NPD Authorized official
• Green Gregson Family Dentistry LLC

  • Dentist
  • Metairie, LA
  • NPI 1881901726
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1386088789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027255",
            "telephone_number": "504-849-0190",
            "fax_number": "504-849-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027255",
            "telephone_number": "504-849-0190",
            "fax_number": "504-849-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Neal
• Herman Neale
• Shawana Nealy, APRN
• Michael D Neill, MD
• Mariah S. Neiman
• Kelley Nelson
• Khajia Myria Nelson
• Leah Nelson
• Leshaundra Nelson
• Linda Kern Nelson, MSW, LCSW, BCD

• Dentist in Metairie, LA
• Providers in Metairie, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.