Brent E. Nelsen DMD, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

7193 Issued in KS

Legal business name

BRENT E. NELSEN DMD, LLC

Practice address

1120 N Rock Rd
Derby, KS 67037-3584

Phone

(316) 789-9999

Fax

(316) 789-9296

NPI assigned

Oct 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brent Edward Nelsen, DMD

Title

Owner

Phone

(316) 789-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerard C Guimond, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1902416068
  NPD (past)
• Andreas Christopher Schmalz, DDS

  • General Practice Dentistry
  • Derby, KS
  • NPI 1477237170
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1396149183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373584",
            "telephone_number": "316-789-9999",
            "fax_number": "316-789-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373584",
            "telephone_number": "316-789-9999",
            "fax_number": "316-789-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT E. NELSEN DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-789-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "7193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi K Brace, CPM
• Brackeen Chiropractic PA
• Paul Allen Brackeen, D.C.
• Laura A Branstetter, OD
• Katherine Ann Brennan, DPT
• Brickstone Solution LLC
• Brookdale Senior Living Communities, Inc.
• Danielle Brown, DPT
• McKenzie Brown
• Laura Diane Broyles, HIS

• All providers in Derby, KS
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.